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Biomedical subjects

E C Martin

Publications and source records attributed to E C Martin.

At least 91 records · Page 5Linked to original sources
PubMed1977

The left aortic arch and right descending aorta.

Three patients with a left arch and a right descending aorta are described, all presenting in infancy. In one patient the abnormality was acquired, yet the radiological appearances were very similar. The place of the barium swallow in the diagnosis is discussed, and it is concluded that aortography is required for a definitive diagnosis.

Adolescent↗
PubMed1977

Angiocardiography of obstructing muscular bands of the right ventricle.

Two types of obstructing anomalous muscle bundle are described on the basis of right ventricular angiocardiographic analysis in 28 patients. In the low type the anomalous muscle bundle is located in the midsinus of the right ventricle; in the high type it lies at the subinfundibular level. Ocassionally, both forms of obstruction exist in the same individual. A ventricular septal defect was present in 24 of the 28 patients (85%). Serial catheterizations at a mean interval of 6.6 years demonstrated progession of the obstruction in eight of 15 patients. Differentiation of anomalous muscle bundle from tetralogy of Fallot is facilitated by clear angiographic delineation of the anomalous muscle and the position of the parietal band in most cases, but may not be possible when both anomalies occur together.

Adolescent↗
PubMed1977

Myelolipoma of the adrenal: two cases with ultrasound and CT findings.

Myelolipoma of the adrenal gland is a rare tumor composed of varying proportions of fat and bone marrow elements. In about half of the reported cases with radiologic findings the mass was radiolucent, indicating the presence of fat; the remainder were of soft tissue density or calcified. Arteriography is of limited value in diagnosis, since myelolipomas are typically avascular. With the advent of gray scale ultrasound and computed tomography (CT), fat can be detected in lesions which do not appear radiolucent on radiographs. Two cases of myelolipoma are reported in which ultrasound showed a markedly echogenic mass, an appearance chracteristic of lipomatous tumors. In the second case, the mass was of soft tissue density on radiographs, markedly echogenic on sonogram, and definitively fatty on CT scan. Ultrasound and CT are valuable techniques for making a preoperative diagnosis of this tumor.

Adrenal Gland Neoplasms↗
PubMed1976

Pulmonary metastases in Wilms' tumour.

In a series of 87 patients with a diagnosis of Wilms' tumour seen at the Great Ormond Street Hospital for Sick Children between 1960 and 1973, 15 patients had pulmonary metastases at the time of diagnosis and a further 22 patients developed pulmonary metastases within 18 months of their initial nephrectomy. The incidence of later development of metastases was very much greater in those patients with locally advanced primary tumours than in those with a completely resectable, encapsulated tumour. In both groups of patients the disease-free survival rate was closely related to initial local tumour staging. In the whole series there were 11/37 (42-5%) patients with pulmonary metastases who survived disease-free for two or more years following treatment. The survival rate was highest in those patients who had a solitary pulmonary metastasis which was surgically resected (5/6); this type of lesion was seen only in those patients who had a localised primary tumour. In those patients with multiple pulmonary metastases, treated with irradiation to the whole lungs and single-agent chemotherapy, there were only 6/31 disease-free survivors; this group of patients all had advanced primary tumours and there was a high incidence of associated abdominal recurrence. The need for multiple agent chemotherapy in conjunctin with surgery and radiotherapy, both as prophylaxis against and in the treatment of metastases from Wilms' tumour is stressed.

Adolescent↗
PubMed1975

Bone metastases in Wilms' tumour.

In a series of 81 patients with a diagnosis of Wilms' tumour seen at the Hospital for Sick Children, Great Ormond Street, between 1960-1972, two patients developed histologically proven bone metastases. In one patient a lump on the head was the presenting symptom of his Wilms' tumour. In the second patient an isolated metastasis developed in the iliac bone 2 3/4 years after complete removal of an encapsulated Wilms' tumour. The bone lesion was outside the previously irradiated volume. Response to treatment was poor and both patients died with further widespread disease. A review of other series confirms the low incidence of bone metastases from Wilms' tumour and the poor prognosis of this complication. This contrasts with a high incidence of pulmonary metastases in which the response to treatment and subsequent survival is good. The value of skeletal surveys and scans in detecting this relatively rare site of metastases from Wilms' tumour is discussed.

Bone Neoplasms↗
PubMedDate not supplied

Multicenter trial of the wallstent in the iliac and femoral arteries.

PURPOSE: To report the results of the FDA phase II, multicenter trial of the Wallstent in the iliac and femoral arteries. PATIENTS AND METHODS: Two hundred twenty-five patients entered the trial. Stents were placed in the iliac system in 140 patients and in the femoral system in 90 (five patients required both iliac and femoral stents). Clinical patency was measured over 2 years by means of life-table analysis with use of clinical and hemodynamic data and the Rutherford scale. Angiographic patency was measured at 6 months. RESULTS: In the iliac system the primary clinical patency was 81% at 1 year and was 71% at 2 years. The secondary clinical patency was 91% and 86%, respectively. The 6-month angiographic patency was 93%. In the femoral system the primary clinical patency was 61% at 1 year and 49% at 2 years. The secondary patency was 84% and 72%, respectively. The 6-month angiographic patency was 80%. CONCLUSIONS: The results are similar to those with the Palmaz stent in the iliac system and with angioplasty alone in the iliac and femoral systems.

Adult↗
PubMedDate not supplied

Regional ejection fractions in patients with patent and thrombosed grafts after coronary artery vein bypass surgery.

Twenty-six patients who had received 43 grafts were studied before and after coronary artery vein bypass surgery. Cine ventriculograms taken in the right anterior oblique projection were analyzed and regional ejection fractions calculated. Single and multiple grafts were considered separately as were thrombosed and patent grafts. Patients were also divided into those with regional ejection fractions below 50% and those with regional ejection fractions above 50%. No statistically significant improvement of the relevant segments was demonstrated in any group. However, those with a regional ejection fraction above 50%, whose grafts had thrombosed, deteriorated from a mean of .66 to .39. There is a significant trend here (p less than .05) and a t test significance at the 7% level.

Cineangiography↗