The surgery of post-infarction left ventricular aneurysm using total cardio-pulmonary by-pass.
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Biomedical subjects
Publications and source records attributed to J H Kay.
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Mitral annuloplasty is preferable to mitral replacement for patients with pure mitral insufficiency. This conservative procedure can be applied to those patients with torn or significantly stretched chordae tendineae unrelated to the site of lesions of the chordae tendineae. The 6 recent recent patients were examined by echocardiography pre- and postoperatively. The study of 35 long term follow up patients revealed longevity and safety of this procedure. Echocardiograms document normalization of abnormal mitral motion, reduction of excursion, and diastolic velocity of the leaflets, and decrease in left atrial size. These findings, showing apparent diminution of mitral flow, suggest significant improvement in valve function.
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During the past 14 years, 11 patients varying age from 27 to 68 years, had excision of primary intracavitary cardiac tumor: 7 had a left atrial myxoma, 1 a left ventricular myxoma, 1 a right ventricular myxoma, and 2 had a left atrial malignant mesenchymoma. Accurate diagnosis was made by angiocardiography in 8 patients. All patients underwent open heart excision of the tumor with the use of cardiopulmonary bypass. One of the 9 patients with a left atrial myxoma died postoperatively with recurrence of the tumor. The two patients with left atrial malignant mesenchymoma died 8 and 15 months after palliation. All surviving patients are asymptomatic without evidence of recurrence.