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Biomedical subjects

E G Laforet

Publications and source records attributed to E G Laforet.

At least 19 recordsLinked to original sources

Late perforation by pacemaker catheter loop in the neck: a preventable complication of the external jugular approach.

The external jugular vein is a less favored but still useful route for insertion of cardiac pacemaker catheters. When this approach is used, gradual descent of the pulse-generator in the subcutaneous tissue of the chest wall may produce sharp angulation of the catheter as it enters the vein. This may result, many months later, in pressure necrosis of the overlying skin. Techniques aimed at preventing such pulse-generator descent should obviate this complication.

Aged

Pacemaker runaway following intermittent output failure.

A case with a mixed pattern of pacemaker failure is presented. "Runaway" pacemaker with ventricular capture at 250 beats per minute occurred three days after the development of syncope associated with intermittent loss of pacing artifact. Presumed protection by placement of a temporary pacemaker upon admission was unfounded. This case argues for rapid diagnosis of pacemaker failure, followed by prompt surgical exploration and repair of the pacing system.

Bundle-Branch Block

Informed consent.

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Informed Consent

Nephrogenic pleural effusion.

Although the presence of a pleural effusion is almost always indicative of an intrathoracic problem reflection will yield a certain number of extrathoracic causes, such as hypoproteinemia, Meigs' syndrome pancreatitis and subphrenic abscess. The kidney is a close neighbor of the diaphragm and pleural cavity, and a case of renal stone associated with a small ipsilateral pleural effusion, which regressed with resolution of the primary process, is reported.

Adult

Acute hemorrhagic incarceration of prolapsed gastric mucosa.

In some patients with hiatus hernia, vomiting may propel a plug of redundant gastric mucosa into the distal esophagus, where it becomes incarcerated and engorged. Significant bleeding may result. Reduction of the hernia controls the hemorrhage. Endoscopy after the acute episode may demonstrate a gastric mucosal lesion considered to be characteristic of the syndrome.

Aged