Biophysical characteristics of lungs in acute pancreatitis.
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Biomedical subjects
Publications and source records attributed to H Bolooki.
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The hospital course of a young man with a bullet migration through the venous system to the right ventricle is reviewed. The intraoperative management of foreign bodies to the heart using x-ray image intensifier is employed.
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Inadequate supply of donor hearts is the greatest limitation to wider utilization of heart transplantation. We performed donor cardiectomy for other transplantation centers in three cases. The donor heart functioned well in all cases, and the recipients were all discharged. Donor cardiectomy for other transplantation centers allows utilization of hearts that might otherwise be lost for transplantation.
A case is presented in which the intra-aortic balloon pump (IABP) was used to successfully manage cardiogenic shock in a patient with a cardiac stab wound, not involving a coronary artery.
We report a case of a young man with acute right ventricular failure immediately after an orthotopic heart transplantation. The clinical presentation suggested acute reactive pulmonary hypertension. Hemodynamic and angiographic data proved it to be an inadvertent pulmonary artery torsion. The clinical hemodynamic and angiographic characteristics of this potentially lethal complication are discussed.
A technique of closure of median sternotomy with trans-sternal figure-of-eight wires is described. This method has the advantages of very stable sternotomy and can be performed by the surgeon without need for surgical assistance. This technique has resulted in 0.4% incidence of dehiscence and no sternal infections.
Although the initial clinical application of IABP was for the purpose of support of circulation in cardiogenic shock, its indications have expanded and include prophylactic use, especially in patients with ischemic heart disease. Controversy exists regarding the efficacy of this device in these conditions. Prolonged balloon support for periods of more than 5 days is presently employed in patients with chronic heart failure undergoing cardiac surgery, without concern for so-called "balloon dependence." In recent years, the incidence of use of IABP has declined markedly mainly because of comparable effects obtained by hemodynamic treatment with various drugs aimed at altering a specific parameter of cardiac function. Percutaneous application of an intra-aortic balloon catheter, although associated with a higher complication rate, has brought to clinical practice a rapid method for utilization of this device under fluoroscopic control. Because of an appreciable number of complications, however, balloon assist should be used for very specific clinical conditions.
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