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Biomedical subjects

J W Pate

Publications and source records attributed to J W Pate.

At least 73 records · Page 4Linked to original sources
PubMed1976

Esophageal obstruction due to intermuscular hematoma following pneumatic dilatation.

A case of incomplete esophageal perforation with an intermuscular hematoma is presented. Unlike previously described submucosal or intramural perforations, this case involved mucosa, submucosa, and the inner circular muscle layer but was limited by the outer longitudinal layer. Nonsurgical treatment was followed when the clinical picture of an incomplete perforation without mediastinal soilage was considered. Surgery was done when evidence of impending extension of the process outside the esophagus developed.

Adult↗
PubMed1976

Aspergilloma within a malignant pulmonary cavity.

The simultaneous appearance of both bronchogenic carcinoma and aspergilloma with the typical radiographic appearance of a mycetoma emphasizes the importance of consistent suspicion for malignancy in any pulmonary lesion. This is apparently the first reported case in which allergic phenomena (asthma-like symptoms and eosinophilia) are associated with an aspergilloma occurring within a cavitary bronchogenic carcinoma.

Aged↗
PubMed1976

Follow-up of patients with saphenous vein bypass grafts for angina pectoris.

These studies are in agreement with others that aortocoronary vein grafts done for severe angina pectoris are associated with a low operative and late mortality rate. Most patients were significantly improved in regard to pain and exercise tolerance. "Optimal" graft site is associated with a graft patency rate of about 90 per cent. There is clear evidence that left ventricular function, particularly with exercise, is improved in some patients. When a graft is placed in an obstructed coronary artery supplying a segment of abnormally contracting myocardium, there frequently is significant improvement of contraction when the graft remains patent.

Adult↗
PubMed1975

Southern thoracic surgery.

The different cultures of North and South produced surgeons with subtle but identifiable differences in approaches to thoracic surgery. Some of these factors still represent a strength of the Southern thoracic surgeon, who is, at least spiritually, a descendant of early Southern surgical leaders. Background, contributions, observations, and attitudes of surgeons of the Confederate States of America are examined. Southern thoracic surgeons are urged to demand intellectual accomplishment and scientific achievement, even in the face of a changing, unstable, unpredictable sociopolitical environment of which we have little understanding and even less control.

Empyema↗
PubMed1975

Diagnosis and management of major vascular injuries: a review of 200 operative cases.

In a series of 250 civilian vascular injuries, 85 per cent were due to firearms and 50 per cent involved the torso, both of which represent an increased frequency of occurrence over other reports. There were 40 deaths, 31 of which occurred during operation or in the recovery room and were due to irreversible shock or coagulopathy. Of the nine late deaths, failure of the vascular repair was responsible for only three. In 124 extremity artery injuries, there were 12 leg amputations (10%) with shotgun wounds responsible for nine and popliteal artery injuries involved in seven. In gunshot wounds of the aorta and iliac arteries, there were five suture line disruptions in nine primary repairs and no disruptions in 11 patients repaired by grafts. The evidence indicates that an antibiotic soaked dacron graft is the method of choice to repair gunshot wounds of the aorta and iliac arteries at this time.

Amputation, Surgical↗