A technique of aortic valvuloplasty for aortic insufficiency associated with ventricular septal defect
450
ABSTRACTS
movements became normal. The fourth of the patients submitted to conservative treatment died of atelectasis and bronchopneumonia at 2%...
movements became normal. The fourth of the patients submitted to conservative treatment died of atelectasis and bronchopneumonia at 2% mo of age. The pathogenetic mechanism of diaphragmatic paralysis and the clinical signs are described. Absence or presence of paradoxical respiration is considered of prime importance for prognosis and therapy.-C. Bretscher
HEART AND GREAT VESSELS Murmur of Persistent Premature Infants. Arch. 1972.
Dis.
Child.
Surgical Correction Systemic Venous erts,
of Total Drainage.
J. M. Edwards,
Thorac. Cardiovasc. (November), 1972.
and
Anomalous K. 0. RobR. Astley.
Surg.
J.
64kIO3-810
Total drainage of the systemic veins to the left atrium is rare. A patient successfully treated by an intraatrial baffle is described. -Thomas M. Holder
Ductus Arteriosus in K. A. Hallidie-Smith.
Technique of Aortic Valvuloplasty for Aortic Insufficiency Associated With Ventricular Septal Defect. D. A. Murphy and N. Poirier. J. Thorac. Cardiovasc.
47525-530
Surg.
(August),
This review of a 15-yr experience at Hammersmith covers 700 premature infants. Fifty-two infants with well-documented evidence of patent ductus arteriosus are discussed. These infants all had evidence of persistent patency of the ductus beyond the end of the first week of life. In 47 infants the ductus closed spontaneously before the age of 6 mo and in five patients the ductus has not closed. In the total series 12 infants developed cardiac failure that was treated medically. The ductus subsequently closed in 11 of these 12 patients. Of the 52 infants studied in detail, nine developed heart failure and eight survived with the duct closing spontaneously. The ninth infant died and had a widely patent ductus. -D. G. Young Long-Term Effects of Open-Heart Surgery on Intellectual Functioning. K. A. Frank, S. S. Heller, 0. S. Kornfeld, and J. R. Ma/m. J. Thorac. Cardiovasc. Surg. 64:811-815 (November), 1912. Ninety-eight adult patients were evaluated by psychological testing prior to openheart procedures. Forty-nine were evaluated 6 mo postoperatively. There was a slight but statistically significant increase in overall measured intelligence. This increase was thought to be the result of practice efforts; i.e., previous testing. Patients who were delirious in the postoperative period scored as well in the retest as those who remained clear minded. Nineteen reference are included. -Thomas M. Holder
A
An right sented. tending down cusps. closed, tissue
64:800-802
(November),
1972.
8-yr-old girl with prolapse of the and noncoronary aortic cusps is preIt was treated successfully by exthe transverse aortotomy vertically between the commissure of the two The vertical aortic incision was incorporating the redundant cusp in the suture line. -Thomas M. Holder
Reversal of Infant Mortality by Early Surgical Correction of Coarctation of the Aorta. James W. Kilman, Thomas E. Williams, Jr., Thomas S. Breza, Josepha Craenen, and Don M. Hosier. Arch. Surg. 105:865-868
(December),
1972.
During the past 12 yr, 112 cases of coarctation of the aorta and associated defects in children under 2 yr of age were medically and surgically treated at Columbus Children’s Hospital. Operative and overall mortality was reduced by undertaking corrective surgery of all amenable defects at an early age. The cases are broken down into four categories: medical and surgical management 1960-1966 and 196i’-1971.-Edward 7. Berman
ALIMENTARY
TRACT
A Comparison of Technics of Esophageal Anastomosis. Robert P. Be/on, Arthur Lieber, and Richard H. Segnitz. Am. Surg. 38:533-536 (October), 1972. Twenty-four dogs tain the merits of