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At least 1,009 records · Page 56Linked to original sources
PubMed1988

[Replacement of the ascending aorta with reimplantation of coronary vessels. Apropos of 81 cases].

Between 1973 and 1985, 81 patients underwent Bentall's operation. 90 p. 100 of the patients had cystic medionecrosis, but only 24 showed signs of Marfan's syndrome. It must be noted that 12 patients were reoperation cases, 18 were operated upon in an emergency for tamponade (stage V) on acute dissection, and 7 had lesions that involved the aortic arch. The operative procedure was that described by Bentall; Cabrol's modification was used in only 26 patients. The most recent improvements concerned myocardial and (in case of aortic involvement) cerebral protection with an autonomous perfusion of blood at very low temperature. Mortality was low in patients with annulo-aortic ectasia (1 death in 53 cases; 1.8 p. 100) and rose to 34.5 p. 100 (33.3 p. 100 in reoperation cases) in patients with chronic dissection. Evaluation of mortality by stage showed virtually no risk in stages I and II, whereas 4 of the 9 stage IV patients died within the first post-operative month. Late mortality with a mean follow-up of 4 years was 14.2 p. 100; 2 of the 10 deaths were accidental, and 4 of the remaining 8 deaths were due to the anticoagulant therapy (death was precipitated in 2 cases by the presence of a cerebral aneurysm). No case of systemic embolism was observed, and the authors raise the question of whether long-term anticoagulant therapy should be abandoned. None of the patients who underwent Bentall's operation were reoperated upon, whereas 7 out of the 23 patients who had had supracoronary aortic replacement before 1976 had been reoperated upon within a few years.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1977

[Reimplantation and autotransplantation of teeth. Review of the literature].

The most important factor for a favorable long-time prognosis of replanted and autotransplanted teeth is a short extra-alveolar periode. Implanted teeth should be followed radiographically with special attention to external resorptions as these correspond well with the histological picture. Avulsed teeth replanted within 30 minutes have a fairly good long-time prognosis. A little less than half of the teeth are still in place after five years. In international replantation the procedure can be performed with a short extraalveolar periode. By using the methods giving the shortest extraalveolar periods during autotransplantation a favorable long-time prognosis is to be expected in most of the cases. Implantation can be performed with all teeth at any developmental stage. However, a favorable long-time prognosis can only be expected where the teeth are removed from their alveoli without severe damage to the periodontal membrane. Compared to the altenative treatments which often are removable or fixed appliances or artificial implants, the prognosis for implanted teeth is sufficient good to accept the treatment as lege artis.

Animals↗
PubMed1988

[Uterine rupture after tubal reimplantation].

The authors report a case of rupture of the right cornu of the uterus in the ninth month of pregnancy in a woman who had had her right tube implanted into her uterus. This complication is considered, in the discussion, to be rare. It is very difficult to prevent it happening during pregnancy. It would seem that a prophylactic caesarean operation should be carried out if the insertion of the placenta is in the area of the implantation.

Adult↗