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Biomedical subjects

P Vernant

Publications and source records attributed to P Vernant.

At least 91 records · Page 5Linked to original sources

[Evaluation of 2 years' experience with assisted circulation by diastolic counterpulsation].

The authors report their two years' experience of circulatory assistance by diastolic counter-pulsation with an intra-aortic balloon. This technique was used in 23 patients: 9 cases of cardiogenic shock due to acute myocardial infarction, 9 septal ruptures, 1 rupture of the papillary muscle of the mitral valve, 1 acute ventricular aneurysm, 2 high risk coronary arteriographies and 1 case of early post-infarction recurrent ischemia. It confirms the gravity of cardiogenic shock as, in spite of the frequent improvement in hemodynamic parameters under counter-pulsation, there was only one survivor. The efficacy is greater in cases of septal rupture, where the author obtained 3 survivors out of 6 operated cases. The security of the method and its innocuity permit one to carry out high risk coronary arteriography and extend the indications for circulatory assistance, to certain cases of unstable angina or early recurrent anginal following acute infarction.

Adult↗

[Type IV truncus arteriousus in a 50-year-old woman].

Report of the case of a 50-year woman with a cyanotoc congential heart disease, relatively well tolerated up to the age of 49. The diagnosis was made at autopsy only. No case published in the literature till now had exceeded the age of 45 years, although the types of truncus arteriosus.

Aorta↗

[Atresia of the pulmonary artery with intact interventricular septum. Apropos of 2 cases with prolonged course].

The authors report two cases of atresia of the pulmonary outflow with an intact interventricular septum; they are remarkable for their slow progression. In one patient the pulmonary perfusion was furnished by systemic arteries, while in the other it was by way of a patent ductus arteriosus. This second patient died following an attempted bi-cavo-pulmonary anastomosis. Such slow progression, which is the exception, is only possible if there is a substantial vicarious pulmonary circulation.

Adolescent↗

[Dissecting aneurysm rupturing into the pericardium in a 10-year-old child. Temporary surgical success].

Report of the case of a child in whom a marked dilatation of the ascending aorta was discovered at the age of 7 years, because of a symptomless systolic murmur, and who developed at the age of 10 a clinical picture of dissecting aneurysm. He was operated upon successfully, and was shown to have on operation a stenotic bicuspid aortic valve. There were no signs of fibrous tissue dystrophy. Death occured suddenly at the age of 14.

Aortic Valve Stenosis↗