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Congenital retrosternal diaphragmatic hernia containing liver
432
ABSTRACTS
the lung. one with subpleural sequestration, one with foreign one with bronchial adenoma, plastic metastases. There were two deaths. Some of the more are described and illustrated grams.-C. A. Montagnani Pulmonary taneous
Lung
cysts, two with body aspiration, one with neo85 recoveries and interesting cases with roentgeno-
Sequestration
Intropleural
with
Hemorrhage.
Spon-
G. 1.
Zumbro, D. C. Green, W. Brotf and R. L. Treasure. J. Thorac. Cordiovasc. Surg. 68:673-674 (October), 1974.
mobility was slightly, in three markedly reduced. Complete immobility or paradoxical movements were not seen. The authors point out that the clinical signs did not correspond to the severity of the x-ray findings as nearly all the children did well clinically.V. Ku/&a Congenital
Retrosternal
Containing
liver.
Hupka.
Cesk.
in Congenital
The
Anneliese 1974.
Effect
D.
of Steroids
Shunting.
M.
Nicoloff,
and
M.
Cardiovasc.
on Adaptation
L. Schwartz, f.
W.
W.
to AtelecF.
Northrup,
Humphrey.
Surg. 68:822-829
J. Thorac. (November), 1974.
This is an experimental study utilizing dogs in which left lower-lobe atelectasis was produced by occluding the left lower-lobe bronchus with a balloon catheter. On control animals there was an initial increase in pulmonary vascular shunting which returned to near normal after 2 hr of atelectasis. This decrease in shunting was abolished by methylprednisolone 35 mg/kg. Steroids failed to alter pulmonary vascular hypertensive response to 89; 0, inhalation. It was felt that the steroids partially desensitized the chemoreceptors of the lung to all stimuli and that the decreased O2 ventilation was such a strong stimulus that it was not blocked by the steroids.Thomas M. Holder Results
of
Children Eventration. Vojtko,
Late
Radiographic
Operated
Upon
Examination for
in
Diaphragmatic
M. Mac&, V. Pohl, J. Hrk, and Cesk. Pediotr. 29:315-317, 1974.
M.
Seventeen patients with diaphragmatic eventration operated upon at the Dept. of Pediatric Surgery. Komensky-University Bratislava (Slovakia) were followed for periods of 2- 15 yr. The diaphragm on the operated side was usually found to be at the normal level. and in seven cases it was of normal shape. In six cases the
Hernia and
i.
A case report of a boy is described where radiography performed because of pulmonary infection revealed a right paracardiac tumor. Precise diagnosis was obtained by performing a pneumoperitoneum and gamagraphy. As the patient suffered from Down’s syndrome and had no clinical signs surgery was not recommended.V. Kafka
A 32-yr-old male was diagnosed by chest x-ray to have a right lower lobe sequestration. Because he had leukemia, removal was not recommended. Two months later while the leukemia was in remission and his coagulation studies were normal he developed a spontaneous massive pleural hemorrhage from the sequestered lobe. Emergency thoracotomy with resection of the sequestration was successful. He has remained in remission from leukemia for 2 yr.- Thomas M. Holder
tatic
Diaphragmatic
V. Horonski, A. G&k, Pediatr. 29:85-86, 1974
HEART Pyelogram
AND GREAT
as Side
Effect
Heart
SchwingshockL
VESSELS
of Angiocardiography
Disease.
Piidiotr.
1. Hammerer
and
Piidol. 9&S-59,
In 170 infants angiography was performed for investigation of cardiovascular anomalies. The resulting pyelograms were studied retrospectively and in 22 patients (20.5”;) malformations of the urinary tract, mainly duplications and dilatations of calyces and renal pelvis were detected. In contrast to pathological reports, these studies revealed a high incidence of renal malformations in children with congenital heart diseases. This can be explained embryologically as both organ systems develop at the same time. The coincidence of cardiac and renal malformations is well known to exist in a number of syndromes.-G. BrandeskJ Open-heart Months
of
Surgery
During
the
First
Three
Life.
A. R. Costonedo, J. Lomberfi, R. M. Sode, R. G. Williams, and A. S. Nodos. J. Thorac. Cordiovasc. Surg. 68, 719-731 (November), 1974. Twenty-eight patients less than 3 mo of age underwent open intracardiac corrective procedures at the Boston Children’s Medical Center. Deep hypothermia. surface cooling, limited cardiopulmonary bypass, and circulatory arrest were used. There were six deaths (21.5”,). There were no deaths in 12 patients with transposition of the great arteries or in the six patients with tetralogy of Fallot. There were three deaths in the nine patients with ventricular septal defect.
ABSTRACTS
the lung. one with subpleural sequestration, one with foreign one with bronchial adenoma, plastic metastases. There were two deaths. Some of the more are described and illustrated grams.-C. A. Montagnani Pulmonary taneous
Lung
cysts, two with body aspiration, one with neo85 recoveries and interesting cases with roentgeno-
Sequestration
Intropleural
with
Hemorrhage.
Spon-
G. 1.
Zumbro, D. C. Green, W. Brotf and R. L. Treasure. J. Thorac. Cordiovasc. Surg. 68:673-674 (October), 1974.
mobility was slightly, in three markedly reduced. Complete immobility or paradoxical movements were not seen. The authors point out that the clinical signs did not correspond to the severity of the x-ray findings as nearly all the children did well clinically.V. Ku/&a Congenital
Retrosternal
Containing
liver.
Hupka.
Cesk.
in Congenital
The
Anneliese 1974.
Effect
D.
of Steroids
Shunting.
M.
Nicoloff,
and
M.
Cardiovasc.
on Adaptation
L. Schwartz, f.
W.
W.
to AtelecF.
Northrup,
Humphrey.
Surg. 68:822-829
J. Thorac. (November), 1974.
This is an experimental study utilizing dogs in which left lower-lobe atelectasis was produced by occluding the left lower-lobe bronchus with a balloon catheter. On control animals there was an initial increase in pulmonary vascular shunting which returned to near normal after 2 hr of atelectasis. This decrease in shunting was abolished by methylprednisolone 35 mg/kg. Steroids failed to alter pulmonary vascular hypertensive response to 89; 0, inhalation. It was felt that the steroids partially desensitized the chemoreceptors of the lung to all stimuli and that the decreased O2 ventilation was such a strong stimulus that it was not blocked by the steroids.Thomas M. Holder Results
of
Children Eventration. Vojtko,
Late
Radiographic
Operated
Upon
Examination for
in
Diaphragmatic
M. Mac&, V. Pohl, J. Hrk, and Cesk. Pediotr. 29:315-317, 1974.
M.
Seventeen patients with diaphragmatic eventration operated upon at the Dept. of Pediatric Surgery. Komensky-University Bratislava (Slovakia) were followed for periods of 2- 15 yr. The diaphragm on the operated side was usually found to be at the normal level. and in seven cases it was of normal shape. In six cases the
Hernia and
i.
A case report of a boy is described where radiography performed because of pulmonary infection revealed a right paracardiac tumor. Precise diagnosis was obtained by performing a pneumoperitoneum and gamagraphy. As the patient suffered from Down’s syndrome and had no clinical signs surgery was not recommended.V. Kafka
A 32-yr-old male was diagnosed by chest x-ray to have a right lower lobe sequestration. Because he had leukemia, removal was not recommended. Two months later while the leukemia was in remission and his coagulation studies were normal he developed a spontaneous massive pleural hemorrhage from the sequestered lobe. Emergency thoracotomy with resection of the sequestration was successful. He has remained in remission from leukemia for 2 yr.- Thomas M. Holder
tatic
Diaphragmatic
V. Horonski, A. G&k, Pediatr. 29:85-86, 1974
HEART Pyelogram
AND GREAT
as Side
Effect
Heart
SchwingshockL
VESSELS
of Angiocardiography
Disease.
Piidiotr.
1. Hammerer
and
Piidol. 9&S-59,
In 170 infants angiography was performed for investigation of cardiovascular anomalies. The resulting pyelograms were studied retrospectively and in 22 patients (20.5”;) malformations of the urinary tract, mainly duplications and dilatations of calyces and renal pelvis were detected. In contrast to pathological reports, these studies revealed a high incidence of renal malformations in children with congenital heart diseases. This can be explained embryologically as both organ systems develop at the same time. The coincidence of cardiac and renal malformations is well known to exist in a number of syndromes.-G. BrandeskJ Open-heart Months
of
Surgery
During
the
First
Three
Life.
A. R. Costonedo, J. Lomberfi, R. M. Sode, R. G. Williams, and A. S. Nodos. J. Thorac. Cordiovasc. Surg. 68, 719-731 (November), 1974. Twenty-eight patients less than 3 mo of age underwent open intracardiac corrective procedures at the Boston Children’s Medical Center. Deep hypothermia. surface cooling, limited cardiopulmonary bypass, and circulatory arrest were used. There were six deaths (21.5”,). There were no deaths in 12 patients with transposition of the great arteries or in the six patients with tetralogy of Fallot. There were three deaths in the nine patients with ventricular septal defect.