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Congenital chylothorax in a suckling of two months treated successfully
81
ABSTRACTS
ment of congenital cleft sternum is provided in this report of successful correction of such a lesion in a 2-month-old infant.-W. K. Sieber.
S., Cernoch
K., Hoffmann
Tomeck
Dolezel
Rozl.
J.,
Chir.
49-l
K., Bednur
S. and
:27-32
O.,
Usb&nek
(January),
K.
1970.
In a former paper the technique of autoCONGENITAL CHYLOTHORAX IN A SUC~C of the heart, similar to the OF Two MONTHS TREATED SUCCESSFULLY. transplantation “Lower, Stofer and Shumway”, was deJ. P&q Cesk. Pediat. 25:93-95 (Febru-
ary ), 1970. In the
Department
of Pediatrics,
Zihna,
Slovakia, a spontaneous chylothorax has been noted in a 2-month-old infant following a nonspecific respiratory infection. Chylothorax appeared spontaneously twice in a period of 3 weeks. The child was treated with antibiotics (Tetracyclin, Erythromycin, Chloramphenicol) and drainage of the left hemithorax for 3 and 4 days, respectively. The child has been discharged completely healed. -V. Kafka. RESPIRATORY IMPAIRMENT AND AIRWAY CLOSURE IN PATIENTS WITH UNTREATED IDIOPATHIC SCOLIOSIS. .l. Bjure, G. Grimby, J. Kasalicky, M. Lindh and A. Nachemson. Thorax 25:451456 (July), 1970. Fifty patients, aged 11 to 78 years, with untreated idiopathic scoliosis were studied by spirometry and by the xenon-133 bolus method for studying airway closure. The degree of scoliosis and the age of the patient correlated well with the degree of functional pulmonary impairment. Thus, none of the patients 20 years to 65 years of age were engaged in hard work. Increasing shortness of breath as well as decreasing lung volume was noted with increasing curves and with increasing age. Seventeen of 40 patients showed evidence of airway closure at lung volume greater than functional residual capacity-6 of these being under 40 years of age, and all with scoliosis exceeding 90”. The authors state that long-term follow-up studies have indicated a significantly increased mortality in patients with untreated idiopathic scoliosis, with cardiopulmonary impairment the chief concern usually 40 years of age.-W. K. Sieber.
about
HEART AND GREAT VESSELS FUNCTIONAL STATE OF THE HEART Two YEARS AFTER ISOTOPICTRANSPLANTATION. Bednarik B., Nevtral M., Vasku J., Peresty
scribed. Of 21 dogs operated upon, only 2 were alive 26 months after operation. The
present paper gives data of ECG and pulse rate in rest and effort, the response of pulse rate and blood pressure in the aorta to acetylcholine, noradrenalin and isuprel. Further, the vagus nerve was stimulated (under general anesthesia) and in both eterization and angiocardiography
dogs cathwere per-
formed. Rest ECG
in both cases showed parasinus sinus rhythm with changed rhythm (i.e., shape of P wave and P-Q interval) with
respiratory arrhythmia. After effort in dog extra-systoliy appeared.
No. 7 a ventricular The pulse rate de-
creased from 140 to llO-lZO/min. In dog No. 10 effort caused only a simple sinustachycardia (from 174 to 290/min.). A control dog showed also a para-sinus arrhythmia both on rest and effort, but the frequency did not change after effort. The application of acetylcholine was followed by bradycardia; noradrenalin caused a rise of blood pressure and isuprel a marked tachycardia; vagus nerve stimulation bradycardia and fall of blood pressure. Catheterization and angiocardiography demonstrated normal conditions in dog No. 10. Nine months after operation a stenosis of the S.V.C. developed in dog No. 7. Twentyfour months postoperatively the catheter could not be passed through the stricture and angiocardiography confirmed moreover a slight stricture in IVC in entering the atrium. The venous blood pressures were 18 (S.V.C.) and 25 (I.V.C.) water column. In all three dogs the response was analogous; there were differences only in time of the reaction. Bradycardia with slight hypertension after application of noradrenalin is considered as a proof of atria1 innervation; similarly bradycardia with hypotension confirm the vagus re-innervation. The supposition of re-innervation of the sympathicus would support the fact of tachycardia after acetylcholine and isuprel. -V. Kafka.
ABSTRACTS
ment of congenital cleft sternum is provided in this report of successful correction of such a lesion in a 2-month-old infant.-W. K. Sieber.
S., Cernoch
K., Hoffmann
Tomeck
Dolezel
Rozl.
J.,
Chir.
49-l
K., Bednur
S. and
:27-32
O.,
Usb&nek
(January),
K.
1970.
In a former paper the technique of autoCONGENITAL CHYLOTHORAX IN A SUC~C of the heart, similar to the OF Two MONTHS TREATED SUCCESSFULLY. transplantation “Lower, Stofer and Shumway”, was deJ. P&q Cesk. Pediat. 25:93-95 (Febru-
ary ), 1970. In the
Department
of Pediatrics,
Zihna,
Slovakia, a spontaneous chylothorax has been noted in a 2-month-old infant following a nonspecific respiratory infection. Chylothorax appeared spontaneously twice in a period of 3 weeks. The child was treated with antibiotics (Tetracyclin, Erythromycin, Chloramphenicol) and drainage of the left hemithorax for 3 and 4 days, respectively. The child has been discharged completely healed. -V. Kafka. RESPIRATORY IMPAIRMENT AND AIRWAY CLOSURE IN PATIENTS WITH UNTREATED IDIOPATHIC SCOLIOSIS. .l. Bjure, G. Grimby, J. Kasalicky, M. Lindh and A. Nachemson. Thorax 25:451456 (July), 1970. Fifty patients, aged 11 to 78 years, with untreated idiopathic scoliosis were studied by spirometry and by the xenon-133 bolus method for studying airway closure. The degree of scoliosis and the age of the patient correlated well with the degree of functional pulmonary impairment. Thus, none of the patients 20 years to 65 years of age were engaged in hard work. Increasing shortness of breath as well as decreasing lung volume was noted with increasing curves and with increasing age. Seventeen of 40 patients showed evidence of airway closure at lung volume greater than functional residual capacity-6 of these being under 40 years of age, and all with scoliosis exceeding 90”. The authors state that long-term follow-up studies have indicated a significantly increased mortality in patients with untreated idiopathic scoliosis, with cardiopulmonary impairment the chief concern usually 40 years of age.-W. K. Sieber.
about
HEART AND GREAT VESSELS FUNCTIONAL STATE OF THE HEART Two YEARS AFTER ISOTOPICTRANSPLANTATION. Bednarik B., Nevtral M., Vasku J., Peresty
scribed. Of 21 dogs operated upon, only 2 were alive 26 months after operation. The
present paper gives data of ECG and pulse rate in rest and effort, the response of pulse rate and blood pressure in the aorta to acetylcholine, noradrenalin and isuprel. Further, the vagus nerve was stimulated (under general anesthesia) and in both eterization and angiocardiography
dogs cathwere per-
formed. Rest ECG
in both cases showed parasinus sinus rhythm with changed rhythm (i.e., shape of P wave and P-Q interval) with
respiratory arrhythmia. After effort in dog extra-systoliy appeared.
No. 7 a ventricular The pulse rate de-
creased from 140 to llO-lZO/min. In dog No. 10 effort caused only a simple sinustachycardia (from 174 to 290/min.). A control dog showed also a para-sinus arrhythmia both on rest and effort, but the frequency did not change after effort. The application of acetylcholine was followed by bradycardia; noradrenalin caused a rise of blood pressure and isuprel a marked tachycardia; vagus nerve stimulation bradycardia and fall of blood pressure. Catheterization and angiocardiography demonstrated normal conditions in dog No. 10. Nine months after operation a stenosis of the S.V.C. developed in dog No. 7. Twentyfour months postoperatively the catheter could not be passed through the stricture and angiocardiography confirmed moreover a slight stricture in IVC in entering the atrium. The venous blood pressures were 18 (S.V.C.) and 25 (I.V.C.) water column. In all three dogs the response was analogous; there were differences only in time of the reaction. Bradycardia with slight hypertension after application of noradrenalin is considered as a proof of atria1 innervation; similarly bradycardia with hypotension confirm the vagus re-innervation. The supposition of re-innervation of the sympathicus would support the fact of tachycardia after acetylcholine and isuprel. -V. Kafka.