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Biomedical subjects

H Warembourg

Publications and source records attributed to H Warembourg.

498 records · Page 28Linked to original sources

The place of cardiac denervation in the surgical treatment of Prinzmetal variant angina.

Coronary artery spasm has been described as occurring frequently in Prinzmetal variant angina. The relatively poorer results obtained after aorto-coronary by pass grafting carried out in patients with Prinzmetal angina may be due to recurrence of spasm despite the grafts. Accordingly it has been our recent policy since February 1973 to carry out cardiac denervation in all patients with Prinzmetal variant angina. The patients fall into two groups depending on the presence or absence of organic disease in the coronary vessel. The technique of cardiac denervation (plexectomy) as described by Arnulf is fully described and the early and late results of this procedure in the two groups are documented and discussed.

Angina Pectoris, Variant↗

[2 cases of aortocaval fistula].

We report two cases of fistula between the aorta and inferior vena cava that were admitted recently to the Intensive Care Department of this hospital. They are a perfect illustration of the aetiologies most frequently encountered in this disorder, viz. The spontaneous rupture of an atheromatous aneurysm in the vena cava and the occurrence of an aorto-caval fistula following surgery for a herniated disc. Aorto-caval fistula is a serious condition without typical presenting signs, so that diagnostic errors are frequent and appropriate treatment often delayed. It is at any event a true cardiovascular emergency for which surgery is the only answer.

Aorta, Abdominal↗