Cardiovascular Surgery 1980: Proceedings of the 29th International Congress of the European Society of Cardiovascular Surgery

ISBN-13: 9783642681745 / Angielski / Miękka / 2011 / 767 str.

W. Bircks; J. Ostermeyer; H. D. Schulte

Opis

This volume contains the revised texts of the presentations at the 29th International Congress of the European Society of Cardiovascular Surgery, held from July 2-5, 1980, in Dusseldorf under the presidency of Jan Nielobowicz (Warsaw). We express our gratitude to all the authors who have been partici- pating in the Congress, in particular to the invited speakers A. R. Castaneda (Boston), D. B. Effler (Syracuse), F. Fontan (Bordeaux), F. Robicsek (Charlotte), and D. N. Ross (London) for their cooperation. We are grateful to our colleagues of the Surgical Department B at the University of Dusseldorf, J. A. Herzer, G. Irlich, R. Karfer, and A. Krian, for their help during preparation and organisation of the Congress. Finally, we are indebted to Sanol Schwarz GmbH for its support of this publication. Dusseldorf, June 1981 Wolfgang Bircks Jarg Ostermeyer Hagen D. Schulte Contents The Contribution of European Surgeons to the Development of Modern Vascular Surgery. J. Nielubowicz. With 20 Figures *. ****** Session I Cardiac Surgery Valvular Surgery I Chairman: V. O. Bjork, Stockholm; Co-Chairman: A.Carpentier, Paris Special Morphological Structures Along the Closing Zone of the Mitral Valve. H. Heine and M. Laatz. With:5 Figures **. **. . *. *. . ** 25 Conservative Surgery of the Mitral Valve. Annuloplasty on a New Adjustable Ring. M. Puig Massana, J. M. Calbet, and E. Castells With:5 Figures ********. **. *****. **. ****. *****************...*.

Spis treści

The Contribution of European Surgeons to the Development of Modern Vascular Surgery..- Session I Cardiac Surgery.- Valvular Surgery I Chairman: V.O. Björk, Stockholm; Co-Chairman: A. Carpentier, Paris.- Special Morphological Structures Along the Closing Zone of the Mitral Valve..- Conservative Surgery of the Mitral Valve. Annuloplasty on a New Adjustable Ring..- Ruptured Mitral Chordae Tendineae: Surgical Experience in 102 Cases and Observations on the Valve Ultrastructure in this Condition..- Long-Term and Sequential Hemodynamic Investigations in Patients With Ionescu-Shiley Pericardial Xenografts..- Pros and Cons of the Ionescu-Shiley Bioprosthesis..- Criteria for Evaluation of Material for Porcine Heterograft Valves..- Surgical Treatment of Rheumatic Tricuspid Stenosis..- In Vitro Comparison of Heart Valves With Plane and Curved Pendulum Discs..- Valvular Surgery II Chairman: C.M.G. Duran, Santander; Co-Chairman: M.I. Ionescu, Leeds.- Invited Lecture Biological Valves in Cardiac Surgery..- Mitral Valve Surgery in Syria..- Eight Years Experience With the Björk-Shiley Prosthesis Implanted in 733 Patients..- Cardiac Valve Replacement With the St. Jude Medical Prosthesis: Clinical, Echocardiographic and Biological Results..- In Vitro Comparison of Björk-Shiley and St. Jude Medical Valvular Prosthesis in Aortic Position in a New Pulse Duplicator.- Long-Term Results of Emergency Surgery for Active Infective Endocarditis of the Aortic Valve..- Decision-Making Aspects in Valve Surgery for Active Bacterial Endocarditis..- Session II Vascular Surgery.- Extra-anatomic Bypass Chairman: K. Kremer, Dösseldorf; Co-Chairman: N.L. Browse, London.- Review of Indication for Extra-anatomic Bypass..- Revascularization of Lower Limbs Using the Axillary Artery. Early and Late Results of 98 Bypass Grafts..- Analysis and Follow-up of 186 Alternative Bypasses..- Extra-anatomic Bypasses. Clinical and Hemodynamic Results.- Axillofemoral Bypass: An 8 Year Follow-up..- Late Results of Extra-anatomical Bypass Methods..- Axillo-femoral Bypass - A Method of Choice in Aorto-femoral Obliterative Disease..- Extra-anatomical Bypass Through the Obturator Foramen.- Poor Risk Patients Selection in the Management of Aorto-iliac Occlusions: Extra-anatomic Bypass Versus Extra-peritoneal Procedures..- Indications and Results of Femoro-femoral Bypass.- The Femoro-femoral Cross-over-Bypass: An Alternative Treatment of Unilateral Iliac Artery Obstruction..- Acute Ischemia of the Upper Limb Following Extra-anatomical Bypass..- Reconstructive Surgery of the Supraaortic Main Trunks: Extra-anatomic (-thoracic) Versus Transthoracic Procedures.- Our Experiences With Extra-anatomical Bypass Operations in the Supraaortic Area..- Two-stage Procedures in Cerebrovascular Insufficiency: Combination of Carotid Endarterectomy and Externa-interna Bypass..- Surgical Management of Takayasu-Onishi-Arteritis..- Session III Cardiac Surgery.- Tachycardiac Rhythm Disorders Coronary Disease Chairman: C. Hahn, Geneva; Co-Chairman: H.H. Bentall, London.- Surgical Treatment of Wolff-Parkinson-White Syndrome.- Surgical Problems Encountered in Interruption of Multiple Anomalous Pathways of Atrioventricular Conduction (Kent Bundles).- Surgical Treatment of Ventricular Tachycardia: Value of Underlying Mechanism..- Invited Lecture Coronary Artery Surgery - Current State of the Art..- Patterns of Coronary Artery Distribution: Radiological and Anatomical Correlations..- Coronary Revascularization With Snakegrafts. Experience in 214 Patients..- The Immediate Function of Sequential Aorto-coronary Vein Grafts to Closely Adjacent Myocardial Areas..- Control of Cardiac Output After Aortocoronary Bypass Surgery in the Early and Late Postoperative Period by Two-dimensional Echocardiography..- Assessment of Aortocoronary Bypass Graft Patency by Means of Thallium-201 Myocardial Scintigraphy..- Early Revision of Aorto-coronary Bypass Grafts..- Surgical Treatment of Acute Myocardial Infarction (AMI), Complicated by Septal Rupture (VSR)..- Session IV Vascular Surgery.- Combined Disease of the Aorto-iliac and Femoro-popliteal Arteries Chairman: M. Vink, Leiden; Co-Chairman: J. Vollmar, Ulm.- Femoral Artery Doppler Waveform Analysis in the Assessment of Combined Iliac and Femoral Artery Disease..- Numerate Doppler Analysis in the Determination of the Aorto-iliac Component of Multilevel Arterial Disease..- Principles of Surgery in Combined Aorto-iliac and Femoro-popliteal Occlusive Lesions..- Surgical Management of the Aorto-iliac and Femoro-popliteal Arteritis Disease..- Aorto-iliac Thrombo-Endarterectomy..- Concomitant Revascularization of Aorto-iliac-Femoropopliteal Atherosclerotic Lesions..- Value of Popliteal Artery TEA in Treatment of Combined Aorto-iliac-Femoropopliteal Disease..- Evaluation of the Profundoplasty in Reconstructions of Combined Aorto-iliac and Femoropopliteal Occlusive Disease..- Long Grafts in the Treatment of Combined Iliac and Femoral Artery Disease..- Disease of the Aorto-iliac and Femoropopliteal Arteries. Combined Surgical Repair in 48 Cases..- Late Results in Surgery of Aorto-iliac-Femoral Occlusive Disease..- Aorto-femoro-popliteal and Aorto-femoro-tibial Reconstructions: 10-Years Experience..- Session V Cardiac Surgery.- Infection in Cardiac Surgery Chairman: R. Soyer, Rouen; Co-Chairman: P. Naumann, Düsseldorf.- Positive Blood Culture: Germ Number and Distribution in 706 Patients After Open Heart Surgery..- Antibiotic Concentration in Human Hearts..- Gentamicin-Pharmacokinetic During Open Heart Surgery: Serum and Tissue Concentrations in Valvular, Muscular, and Subcutaneous Tissue..- Antibiotic Levels in the Human Serum, Pericardial Fluid, and Heart Tissues..- Intraoperative Changes of Immunoglobulins and Complement Fractions During Open Heart Surgery Using Membrane Oxygenators.- Serum C-reactive Protein Levels in Septicaemia and Endocarditis.- Perioperative Antibiotic Prophylaxis in Cardiac Surgery With Cephalosporins..- Cephalosporins Versus Penicillins in Open Heart Surgery: A Prospective Randomized Clinical Trial..- Prospective Randomized Comparative Study of Cefamandole Versus Ampicillin-Cloxacillin Antibiotic Prophylaxis in Extracorporeal Cardiovascular Surgery..- An Investigation of the Influence of Perioperative Antibiotic Treatment on the Resistancy-characteristics of Bacteria Isolated from Patients Undergoing Cardiac Surgery..- Treatment of Infective Endocarditis. An Analysis of 68 Surgically Treated Patients..- Airborne Contamination Hazard in Open-Heart Surgery. Efficiency of Air Filtration and Laminar Flow..- Session VI Cardiac Surgery.- Heart Disease in Infancy and Childhood Chairman: A. Senning, Zurich; Co-Chairman: E. Bos, Rotterdam.- Surgery of the Interrupted Aortic Arch..- The Mitral Valve in Atrioventricular Canal Defect (AVCD).- Complete Atrioventricular Canal. Long-Term Results With Special Reference to Block and Mitral Valve Function..- Total Anomalous Pulmonary Venous Drainage (TAPVD) in Infancy. Results of Corrective Surgery..- Hemodynamic Results After Reconstruction of the Right Ventricular Outflow Tract in Severe Tetralogy of Fallot With Monocusp Patch.- Surgical Treatment of Fallot’s Tetralogy in Children Under Four Years of Age..- Invited Lecture Early and Late Results of Corrective Cardiac Surgery During the First Year of Life..- Cardiac Forum Chairman: F. Sebening, Munich; Co-Chairman: H. Huysmans, Leiden.- Surgical Treatment of Superior Vena Caval Obstruction.- Surgery in Intensive Care Unit..- Is an Increase in Myocardial Perfusion in the Thallium Scintigram to be Expected After Left Ventricular Aneurysmectomy?.- The Effect of Left Ventricular Aneurysmectomy on Left Ventricular Function at Rest and During Exercise. A Retrospective Study of 350 Patients..- Treatment of Sternal Dehiscence After Open Cardiac Surgery.- Sterno-Mediastinitis Following Open-Heart Surgery. Review of Five Years Experience..- Aneurysm of Ascending Aorta and Aortic Valve Insufficiency: Surgical Treatment..- Stimulation of Myocardial Alpha-Adrenoceptors Mediating Positive Inotropic Effect in Human Atrial Preparations by Adrenaline and Dopamine..- Session VII Cardiovascular Surgery.- Aortic Dissections Chairman: P. Blondeau, Paris; Co-Chairman: A. Senn, Berne.- Computed Tomographic Evaluation of Aortic Dissections.- Surgical Treatment of Aneurysms of the Thoracic Aorta.- Operative Treatment of Acute Aortic Dissections..- Three-Year Clinical Experience With the Gelatine-Resorcine-Formol Biological Glue in Acute Aortic Dissection..- Surgical Experiences of Chronic Dissecting Aneurysms of the Aorta..- Variants and Surgical Treatment of Chronic Dissecting Aortic Aneurysms..- Dissecting Aortic Aneurysm: Ten Years Experience and Long-Term Results of Surgical Treatment..- Late Surgical Results of Ascending Aortic Dissections..- Session VIII Vascular Surgery.- Vascular Forum I Chairman: A. Thevenet, Montpellier; Co-Chairman: U. Ruberti, Milan.- Surgical Treatment of Chronic Intestinal Ischemia.- Management of Acute Mesenteric Vascular Disease (60 Cases).- Treatment of Infections After Arterial Reconstructive Procedures: Possibilities and Results..- Septic False Aneurysms After Vascular Operations.- Secondary and Late Repair in Arterial Injury..- An Improved Autogenous Vein for Bypass Grafting? An Experimental Study..- Study of the Aorta by CT Scanning..- Proteic Deposit and Experimental Arterial Prosthesis in the Dog.- Vascular Forum II Chairman: J. Sautot, Lyon; Co-Chairman: R. May, Innsbruck.- Surgical Management in Patients With Embolizing Deep Vein Thrombosis..- Surgical Treatment of Post-Thrombophlebitic Syndrome of the Lower Extremities and Pelvis in the Stage of Occlusion..- Randomized Trial of Bandaging After Sclerotherapy for Varicose Veins..- Stereoflebografic Study of the Insufficient Perforating Veins, Dependent on Deep and Superficial Femoral Veins..- Impedance Plethysmography and Its Limitations (Remarks Based on 79 Cases)..- High Aortoiliac Occlusion: Treated by Bypass Grafting from the Thoracic Aorta to Femoral Arteries..- Management of Subclavian and Common Carotid Lesions by Transposition..- The Surgical Treatment of Atherosclerotic Occlusion of the Innominate and Subclavian Arteries. Long-Term Results.- Session IX Joint Session.- Infections in Cardiovascular Surgery Chairman: C. Hahn, Geneva; Co-Chairman: G. Poulias, Athens.- Leriche Lecture On the Management of the Ischaemic Limb..- General Hospital Hygiene and Wound Infections After Heart Surgery..- Penetrability of Four Cephalosporins into Skeletal Muscle and Subcutaneous Fat of the Ischaemic Leg..- Risk of Postoperative Infections in Cardiovascular Surgery.- Indium111 - Leukocyte Scintigraph. A New Method in Diagnosis of Infected Vascular Prosthetic Grafts. Preliminary Results.- Serratia Marcescens Septicemia from Pressure Monitoring Chambers in Cardiovascular Operations..- Factors Influencing Infection Rate of Indewelling Intravascular and Thoracic Catheters Following Cardiac Surgery..- The Blood-gas Analyzer and Disposable Pressure Monitoring Systems as Sources of Infection..- Are the Inguinal Lymph Nodes Responsible for Infections of Angioplastic Procedures in the Groin?.- The Hepatitis Risk After Operations Using Extracorporeal Circulation (ECC) - A Prospective Study..- Hepatitis After Open Heart Surgery..- Prophylaxis and Therapy of Graft Infection in Vascular Surgery.- Session X Cardiac Surgery.- Cardiac Forum II Chairman: M.E.M. Macedo, Lisbon; Co-Chairman: P. Satter, Frankfurt.- Comparative Hemodynamic Results of Medical and Surgical Therapy in Patients With Hypertrophic Obstructive Cardiomyopathy.- Fibrin Glue for Treatment of Bleeding in Cardiac Surgery.- Assessment of Right Ventricular Preservation During Cold Cardioplegic Arrest..- A Comparison Between Myocardial Protection With Nifedipine and Other Cardioplegic Techniques..- Effects of Intraaortic Balloon Counter Pulsation on Collateral Blood Flow and Infarct Size..- Cardiac Valve Replacement With Pericardial Xenograft..- Invited Lecture Beneficial Effects of Computer-Controlled Blood Infusion in Patients Recovering from Cardiac Surgery..- Heart Disease in Infancy and Childhood Chairman: G. Semb, Oslo; Co-Chairman: I. Louhimo, Helsinki.- Invited Lecture The Present State and Future Expectations of Surgery for Tricuspid Atresia..- Experience With Palliative Surgery for Tricuspid Atresia.- Repair of Aortic Coarctation in Neonates..- Pacemaker Implantation in Children..- Aortic Valve Replacement in Children With Rheumatic Heart Disease..- The Preserved Dura Mater for Repair of Congenital Cardiac Anomalies..- Clinical Experience With Aortoventriculoplasty for Different Types of Left Ventricular Outflow Tract Obstruction (LVOTO).- Session XI Vascular Surgery.- Vascular Forum III Chairman: K.V. Hall, Oslo; Co-Chairman: R.C. de Sobregrau, Barcelona.- Hemodilution in Arterial Reconstructive Surgery..- Increased Calf Blood Flow and Haemoglobin Delivery Following Haemodilution in Patients With Intermittent Claudication.- Thermal Entrainment of Peripheral Blood Flow..- Significance of Red Cell Deformability..- Extensive Vascular Surgery on Combined Aorto-iliac and Femoropopliteal Diseases. Indications and Results.- Intraoperative Monitoring, Preoperative and Intraoperative Investigation With the Aid of the Opthalmodynamogram.- The Intra-arterial Permanent Perfusion With Prostaglandin E1 for Limb Salvage in Cases With Severe Inoperable Occlusive Disease in Stage IV..- Preliminary Experience With Prostaglandins E1 and E2 in Peripheral Vascular Disease..- Vascular Forum IV Chairman: P. Balas, Athens; Co-Chairman: J. van der Stricht, Brusselles.- Aortofemoropopliteal Reconstruction in One and Two Acts.- Preventing and Detecting Problems With Femoro-popliteal Grafts.- The Hemodynamics of the Side-to-end A-V Fistula in the Wrist.- Late Results of Femoropopliteal and Femorotibial Bypasses Examined by Transvenous Xeroarteriography..- Our Experiences With Surgical Treatment of the Asymptomatic Lesions of the Extracranial Cerebral Blood Vessels..- Resting and Effort ECG Findings in Patients With Peripheral Vascular Disease..- Angiography, Ultrasound, and the Vascular Surgeon..- Ultrasonic Doppler Scanning and B Mode Imaging of the Carotid Artery..- Film Session Cardiovascular Surgery Chairman: H. Dalichau, Cologne; Co-Chairman: J.C. Reidemeister, Essen.- Two Motion Pictures..- Truncus Arteriosus (Rastelli-McGoon Operation)..- Left Atrial Tumor Simulating Mitral Stenosis Combined With Rheumatic Mitral Insufficiency - Removal of the Tumor and Heart Valve Replacement With the St. Jude Medical Prosthesis.- Flow Dynamics of the Deep Femoral Artery..- Cardiac Valve Replacement Using Omniscience Pivoting Disc Prosthesis..- Mitral Valve Replacement..