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Biomedical subjects

T B Cartmill

Publications and source records attributed to T B Cartmill.

At least 37 records · Page 2Linked to original sources
PubMed1982

Profound hypothermia with circulatory arrest: nine years' clinical experience.

A total of 550 intracardiac operations were performed with the aid of profound hypothermia and circulatory arrest between March, 1971, and December, 1979. Both cooling and rewarming were effected by means of an extracorporeal heat exchanger. Overall mortality was 20%, falling to 10% in 1979. Highest risks were associated with operations in the neonatal period and for unusually complex defects. The technique has proved safe for straight forward corrections in young age groups and is especially valuable for selected complex lesions in older children and those requiring reoperation. Although circulatory arrest has greatly extended the range of corrective heart operation in infancy, we believe there is still a significant place for palliative procedures in appropriate circumstances. Neurologic complications attributed to the technique have been uncommon, and only 4.5% of the survivors have any recognizable residual neurologic lesion, whether coincidental or resulting from circulatory arrest. The technique is simple, reliable, and generally safe.

Child, Preschool↗
PubMed1980

Trans--pulmonary arterial repair of supracristal ventricular septal defects in infancy.

Five patients aged 2 months to 2 years with isolated large supracristal ventricular septal defect (VDS) and severe pulmonary hypertension had corrective operation between April, 1978, and November, 1979, performed via a trans--pulmonary arterial approach. This technique provided excellent exposure for accurate placement of sutures, especially between the two semilunar valves. All patients are well, with no residual defects, and their postoperative electrocardiograms (ECGs) do not show any intraventricular conduction abnormality. The technique is especially useful in the presence of severe pulmonary hypertension, wherein ventriculotomy is best avoided and the dilated main pulmonary artery offers excellent access.

Body Weight↗
PubMed1977

Low thoracic duct ligation for postoperative chylous effusions in infants and children.

Three patients aged from three months to six years underwent thoracic duct ligation at the level of the diaphragm for chylothorax which occurred following cardiac operations. Another three-month-old patient underwent thoracic duct ligation for massive postoperative chylopericardium. Indications for operation were a large recurrent chyle accumulation or prolonged chyle drainage. Operative ductograms to deliniate the cisterna chyli and to exclude the presence of multiple lymph channels were performed in three patients. Excellent postoperative results were obtained in all patients for periods of up to two years. Low thoracic dust ligation is a reliable means of control of postoperative chylothorax and lengthy persistence with conservative treatment is no longer necessary.

Child↗
PubMed1976

Angiographic assessment of anomalous origin of the left coronary from the pulmonary artery in infancy and childhood.

Angiographic findings in five paediatric patients with anomalous left coronary artery arising from the pulmonary artery are presented. An attempt is made to provide an angiographic rationale of some aspects of the pathophysiology and electrocardiography in this condition, and the vital importance of angiography in selecting the appropriate surgical approach is underlined.

Angiocardiography↗
PubMed1975

Australian pacemakers: a follow-up survey.

The Royal Prince Alfred Hospital experience with Australian-made pacemakers shows that the Telectronics P7 fixed-rate pacemaker has a 90% survival rate at two years. Such a figure compares favourably with those of its predecessor and other makes of pacemaker. Survival of the P6 ventricular synchronized units is slightly less than that of the P7.

Aged↗