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Biomedical subjects

K Suma

Publications and source records attributed to K Suma.

At least 73 records · Page 4Linked to original sources
PubMed1982

Early and late postoperative studies in coronary arterial lesions resulting from Kawasaki's disease in children.

From October, 1976, to February, 1980, eight children with coronary arterial lesions resulting from Kawasaki's disease underwent surgical treatment--aorta-coronary bypass, aorta-coronary bypass combined with right coronary aneurysmectomy, and aorta-coronary bypass combined with left ventricular aneurysmectomy. The autogenous saphenous vein was used for the bypass grafts. Selective angiography preformed 1 month after the operation revealed an early patency rate of 85%. Seven patients are now leading a normal school life, but one patient died suddenly during relatively strenuous exercise 3 years after the operation. Angiography performed in five patients 1 to 3 years after the operation and autopsy examination in one decreased patient revealed the late patency rate to be 56%. The relatively higher attrition rate of the grafts in the later stage might be ascribed to the smaller caliber of the coronary artery and saphenous vein, to possible inflammatory changes in both the graft and coronary arteries, or to unknown metabolic differences between children and adults.

Adolescent↗
PubMed1981

Clinical performance of microporous polypropylene hollow-fiber oxygenator.

A newly developed polypropylene hollow-fiber oxygenator was used from June 1979, to July, 1980, in 100 patients undergoing open-heart operation. Adequate oxygenation and carbon dioxide elimination were observed throughout perfusion in spite of a relatively low ratio of oxygen flow to blood flow. Plasma hemoglobin level was maintained low after long hours of perfusion. There were no complications related to the oxygenator during or after the operation. Because of its highly efficient performance as well as small size and easy handling, this oxygenator is being used routinely during open-heart procedures in our hospital.

Adolescent↗
PubMed1981

Cardiac surgery of eight children with Kawasaki disease (mucocutaneous lymph node syndrome).

The coronary arterial lesions of Kawasaki disease are characterized by multiple stenoses and aneurysms, which might lead to myocardial ischemia, myocardial infarction, mitral insufficiency due to ischemic papillary muscle dysfunction, ventricular aneurysm, etc. Eight children aged 6 to 13 years with Kawasaki disease underwent surgical treatments. These were coronary bypass surgery, coronary bypass surgery combined with right coronary aneurysmectomy and coronary bypass surgery combined with left ventricular aneurysmectomy. The postoperative course was smooth in all the patients. The selective angiography performed 1 month after the operation revealed the patency rate of 85% of the bypass grafts. However, 1 patient died suddenly during strenuous exercise 3 years after the surgery. Several points to be considered in the aortocoronary bypass in the patients with Kawasaki disease are discussed. These include the unknown fate of saphenous vein grafts and the possibility of higher incidences of graft failure in the growing children. Since the long-term postoperative results are as yet not fully understood, close follow-up of the patients treated by aortocoronary bypass surgery would be mandatory.

Adolescent↗