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Biomedical subjects

L Cotter

Publications and source records attributed to L Cotter.

41 records · Page 3Linked to original sources

Severe and early stenosis of porcine heterograft mitral valve.

A patient who had aortic and mitral valves replaced by Carpentier porcine heterografts for bacterial endocarditis developed severe heart failure 18 days after operation. A second emergency operation revealed that the mitral prosthesis had become severely stenosed and calcified. A loud Graham Steell murmur had developed during the 12 hours before reoperation but no distinct murmurs of mitral stenosis had been detected.

Adult↗

Long-term survival following left ventricular aneurysmectomy.

Ninety-four patients who underwent left ventricular aneurysmectomy between 1971 and 1980 are reviewed. In thirty-four cases this operation was combined with myocardial revascularisation. The overall hospital mortality was 6% with a five-year survival of 72% +/- 6%. Symptomatology dominated by dyspnoea, a raised left ventricular end diastolic pressure (L.V.E.D.P.) and ventricular dysrhythmias adversely affected survival. Combined myocardial revascularisation did not affect the hospital mortality but was associated with a trend toward improved long-term survival in two groups of patients viz those presenting with predominant angina and those with major stenoses of two or more coronary arteries. Fifteen patients agreed prospectively to post-operative cardiac catheterisation. Despite symptomatic relief no improvement in L.V.E.D.P. or ejection fraction was demonstrated in this group.

Angina Pectoris↗

Cardioversion in atrial fibrillation.

Atrial fibrillation is a common rhythm disorder but is frequently not managed aggressively. Cardioversion to sinus rhythm is beneficial and has a high success rate. It should be considered in all patients with atrial fibrillation.

Amiodarone↗