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S Anojcić

Publications and source records attributed to S Anojcić.

11 recordsLinked to original sources
PubMed1990

[Morgagni's diaphragmatic hernia--case report].

A sucostosternal hernia (type Morgagni) is a rare diaphragmatic anomaly of congenital origin; in that sense are data that from 100 operated on diaphragmatic hernias, only three belong to this type. Although it is known that 20% of patients with congenital diaphragmatic hernia have other congenital anomalies, a coincidence of a Morgagni's hernia with heart anomalies, in available to use (domestic and foreign) references, there has not yet been reported. Besides a Morgagni's hernia, our patient also had an insufficiency of mitral and tricuspidal valves, atrium septum defect (sec.), pulmonary hypertension and Hiss' right branch block. Surgery was successful: the diaphragmatic defect (size: 7 cm. x 3 cm.) repaired, and the complex heart anomalies corrected in an extracorporeal circulation.

Adult↗
PubMed1978

[Therapy of cancer of the cardia].

The paper contains analysis on 120 patients with malign neoplasms of cardia and lower third of the esophagus, who have been medicaly treated at the II surgical clinic of the Medical Faculty in Belgrade. Diagnose methods are presented and pointed out importance of early diagnosis and indications for operative (surgical) treatment. Criterious of radical and palliative surgical intervention are stated. Radicaly treated patients were 64 (53,4%). Palliatively treated and not operable patients were 56 (46,6%). There were decided that only by resection of gaster and seized esophagus i.e. by remoting of sick tissue radical treatment can be reached. There were stated postoperative complications and early results of palliative treated patients (mortality 19,8%) and radicaly operated patients (postoperative--hospitality mort. 23,4%).

Adult↗
PubMed1972

[Stabbed heart].

Explore the source record for details and available documents.

Adult↗
PubMedDate not supplied

[The small aorta syndrome].

Angiograms of 956 patients (94.7% of males and females) with aortoiliac occlusive disease were analyzed retrospectively. The existence of small aorta syndrome (SAS) was documented in 9 female patients with a mean age of 41.1 yrs. In this population the incidence was 0.9%; however, in the female patients the incidence was higher (18%). Clinical signs of arterial insufficiency of the lower limbs included: claudication in 8 pts and digital gangrene in 1 patient. Risk factor status was as follows: cigarette smoking was present in 100%, hypertension in 33%, obesitas in 25% and hyperlipidemia in 20% of cases. Dimensions of aortoiliac segments on angiograms and belongs to SAS were made by De Laurentis classification. Aortoiliac segment dimensions of SAS determined on angiograms were compared with operative findings. The mean cross sectional area of the infrarenal aorta was 14.1 mm, at the bifurcation 10 mm, common iliac artery 8 mm, and external iliac artery 4.3 mm. Of 9 female patients with small aorta syndrome 8 were operated by bypass technique. The mean follow-up time was 12.3 months. In 7 pts the reconstructive vascular procedure was successful. In one patient the graft became occluded, 3 month after operation, due to poor run-off. This necessitated limb amputation.

Adult↗
PubMedDate not supplied

[Anticoagulation therapy in cardiac patients with mechanical valve prostheses].

The newest tupes of mechanical prosthetic valves have been shown to be long-lasting and haemodynamically irreproachable. However, they are inadequate with respect to thromboresistance. Modern oral anticoagulant therapy is far from ideal. Every patient, with more or less thrombogenic mechanical valve, carries a risk not just for valve thrombosis or sistemic emboli, but also a risk of bleeding which follows anticoagulant therapy. Thromboemboli and haemorrhage comprise 75% of complications occurring in patients with mechanical heart valves (Edmunds 1987). The decreased incidence of thromboembolic complications registered in the last several years is most likely due to more careful and consistent anticoagulant therapy, revision of indications for the surgical act and improved thromboresistance of the new valve prostheses. The adjunctive value of antiplatelet drug is still a matter of controversy, despite reports of positive results due to these agents. It appears that the combination of pelentan and persantin is optimal, whereas aspirin is not recommended because of frequent gastrointestinal bleeding. Aspirin alone fails to provide adequate protection for valve prostheses in adults even when they are bileaflet in the aortic position. In pregnant women, adolescents and during subsequent surgical treatment, oral anticoagulant therapy should be modified appropriately.

Anticoagulants↗
PubMedDate not supplied

[Antiaggregation agents in the prevention of venous graft occlusion in arterial reconstruction].

Activated platelets are the most important factor in all 3 occlusive processes which successively take place in venous graft in arterial reconstruction. Therefore antithrombotic therapy, and especially aspirin, receives more and more attention in prolonging the life of the grafts. The first prerequisite for optimal clinical effect of aspirin is the beginning of therapy before or on the day of the operation. The second prerequisite is related to the dose (300 mg), which achieves the fast and complete inhibition of thromboxane production with partial and transient inhibition of prostacyclin production with elimination of undesired effects like the prolongation of bleeding time, greater depression of prostacyclin synthesis and gastric bleeding.

Aspirin↗