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Biomedical subjects

J Sokolić

Publications and source records attributed to J Sokolić.

At least 19 recordsLinked to original sources
PubMed1993

The patent ductus arteriosus as a source of recurrent peripheral embolisations.

A patient with a multiple peripheral embolisation of unknown origin is presented. Because of her extreme obesity, some diagnostic procedures could not be performed (CAT), and some were performed with great difficulty (conventional ECHO, DSA of the aorta). Transesophageal echocardiography was the key procedure in the diagnosis of the floating thrombotic mass in the descending aorta. A surgical operation was performed, and a thrombus was found in the aortic orifice of the hemodynamically insignificant patent ductus arteriosus. The patient has now been 18 months in good condition and free of thromboembolic events.

Adult↗
PubMed1991

Extrinsic erosion of the descending aorta by a vertebral fixator.

We report a rare case in which mechanical extrinsic erosion of the descending thoracic aorta resulted in perforation and periaortic hematoma formation in a 16-year-old girl. Five months before admission to our clinic, the patient had undergone surgical spondylosyndesis with inner vertebral fixation, for the correction of scoliosis. Subsequently, a screw on the fixator became loose, eroding and eventually perforating the wall of the descending aorta. The resultant lesion was at first misdiagnosed as a paravertebral abscess; extrinsic perforation of the descending aorta was suspected prior to operation, but was confirmed only upon surgical exploration. After evacuation of the hematoma, the 1.5-cm aortic perforation was closed directly with continuous sutures. Seven months later, the patient continues to do well.

Journal Article↗
PubMed1984

Interrenal coarctation of the abdominal aorta.

We report a case of congenital, segmental, hypoplastic interrenal abdominal aortic coarctation with inadequate collateral circulation. After preoperatively evaluating renal function and intraoperatively measuring vascular pressure, the coarctation was bridged with an aortico-aorta bypass; and an additional bypass graft was placed between the prosthesis and superior mesenteric artery. In this way, besides the successful surgical correction of coarctation, the inverse blood flow in the superior mesenteric artery was reversed to normal.

Journal Article↗
PubMed1982

Surgical treatment of cardiac echinococcosis: report of nine cases.

We reviewed the results in eight patients followed from 10 months to 22 years after one-stage surgery for removal of primary and secondary myocardial and pericardial hydatid cysts. The results were satisfactory in eight patients who survived the operation. One patient, however, with recurrent myocardial echinococcosis, pulmonary embolization, and sepsis died at reoperation. The series was analyzed with reference to the surgical treatment and world-wide experience of complicated cardiac echinococcosis.

Journal Article↗
PubMed1982

[Surgery of heart myxoma].

Myxomas are the most common benign tumors of the heart. It is important that an exact diagnosis be made and radical surgical treatment effected. The clinical interest in them increased particularly in 1950 when Goldberg first established a diagnosis of intracardial myxoma by means of angiocardiography, and Grafford (1954) performed a successful operation in extracorporal blood flow. Our first successful operation was carried out in the above Clinic in 1961, and since then in about 4500 open heart operations 10 myxomas were extirpated.

Adult↗
PubMed1981

[Heart valve replacement].

From 1965 to 1980, the authors accumulated vast experience by operating on 2500 diseased heart valves. Some of these patients had one, two, or three valves replaced. Among the two/three patients, there was a monovalvular problem in III, and more than half the patients with multivalvular problems in IV functional group NYHA. In group II there were only one/three patients with stenosis of the aortic valve. Because of the advanced stage of the disease among the group II patients, the following conditions were often present: heart insufficiency, manifest lung hypertension, cardiomegaly, and pronounced arrhythmia with damage to the kidneys. The risk in such cases is significantly greater. In total, 2941 valves were built. 74% had a normal postoperative recovery, 9,2% died; and 14,2% suffered complications that were remedied. Among the complications were insufficiency of the heart, arrhythmia, hemorrhage, transitory cerebral damage, and tracheobronchial infections. Thus, it can be seen that valve replacement as a treatment for significant hemodynamic disturbances is an effective method of surgical treatment. Improved results, reduction of complications, and few fatalities signal the advancement in such treatment.

Heart Valve Diseases↗