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Patent ductus arteriosus. Presidential address
196
INTERNATIONAL
ABSTRACTS
OF PEDIATRIC
SURGERY
PATENT DUCTUS ARTERIOSUS.PRESIDENTIAL sinuses to the aortic ring. Endarterectomy ADDRESS.3. C. Jones. J. Thorac. & Cardiowas performed, freeing the coronary ostia vascu. Surg. 50:149, 1965. and enlarging the lumen of the aorta at the level of the ring. The valve leaflets were An excellent review of experiences in mobile and commissures were not fused. treating 899 patients with patent ductus arThere was no gradient upon completion of teriosus-William Riker. the procedure. The patient was symptomatically improved.-W. Hardy Hendren. COARCTATION OF THE AORTA. HONORED GUESTS ADDRESS. A. G. Brown.
& Cardiovasc.
Surg. 50:166,
J. Thorac.
ALIMENTARY
1965.
A good review of coarctation of the aorta with experiences in 584 cases of resection.-William RikeT. METABOLICALTERATIONS NOTEDIN CYANOTIC AND ACYANOTICINFANTSDURINGOPERA’TION UNDER HYPERBARICCONDITIONS. W. F. Bernhurd et al. J. Thorac. vast. Surg. 50: 1965.
& Cardio-
Observations on 107 infants operated on under hyperbaric conditions are reported. A marked improvement in survival is shown among the cyanotic infants compared to the previous experiences. Severe alterations of acid-base equilibrium were found in about one half of the cases with acidosis and an increase in lactic acid in most instances. Management with tris buffer and sodium bicarbonate was attempted with variable success.-William Riker. ACQUIREDAORTIC STENOSISIN A 12 YEAR OLD GIRL WITH XANTHOMATOSIS: SucCESSFULSURGICALCORRECTION.P. Stanley, C. Chartrand and A. Dauignon. New Eng. J. Med. 273:1378, 1965. The authors report the case of a 12 year old girl with familial hypercholesterolemia and xanthomatosis who developed supravalvular aortic stenosis. She had soft subcutaneous nodules typical of xanthomatosis and elevation of the serum cholesterol and total blood lipids. Cardiac symptoms included dizzyness, precordial pain on exertion. and weakness of the right arm. Cardiac catheterization showed “a gradient of 108 mm. Hg across the aortic valve at there were extensive rest.” At operation atheromatous plaques covering the intima of the aorta extending down into the aortic
TRACT
TEMPORARYTUBE PHARYNGOSTOMY IN THE STAGEDREPAIROF CONGENITALTRACHEOESOPHAGEALFISTIJLA.J. L. Talbeti I. A. HalleT, Jr. Surgery Ten cases of tracheoesophageal correction presented. means of pooling in pouch. A
58:737,
and
1965.
esophageal atresia with fistula in which a staged
of the anomaly is indicated are It is necessary to provide a preventing all secretions from the proximal blind esophageal method of catheter drainage of
this pouch is described in which a small cervical incision is made over the tip of a curved forcep inserted into the pharynx through the baby’s mouth. This provides drainage without necessitating a tube in the nose or mouth and without disturbing the proximal esophageal pouch in any manner that would make subsequent anastomosis difficult-Daniel T. Cloud. TRACHEOESOPHAGEAL FISTLTLAASSOCIATED WITH ESOPHAGEALDUPLICATION. R. Y.
Wolf, L. Duncan 58~728,
and 1. W. Pate. Surgery
1965.
The case presented is the fifth instance of this anomaly reported in the literature. In the common form of esophageal atresia with tracheosophageal fistula, the upper esophageal pouch may overlap the lower segment producing a situation anatomically similar to duplication. Duplication can be diagnosed, however, when there is demonstrated a definite muscular wall common to the upper and lower esophageal segments, with overlapping of the mucosal tubes. In this case it was possible to close the tracheoesophageal fistula and establish continuity between the upper and lower esophageal segments without resorting to resection and circumferential anastomosisDaniel T. Cloud.
INTERNATIONAL
ABSTRACTS
OF PEDIATRIC
SURGERY
PATENT DUCTUS ARTERIOSUS.PRESIDENTIAL sinuses to the aortic ring. Endarterectomy ADDRESS.3. C. Jones. J. Thorac. & Cardiowas performed, freeing the coronary ostia vascu. Surg. 50:149, 1965. and enlarging the lumen of the aorta at the level of the ring. The valve leaflets were An excellent review of experiences in mobile and commissures were not fused. treating 899 patients with patent ductus arThere was no gradient upon completion of teriosus-William Riker. the procedure. The patient was symptomatically improved.-W. Hardy Hendren. COARCTATION OF THE AORTA. HONORED GUESTS ADDRESS. A. G. Brown.
& Cardiovasc.
Surg. 50:166,
J. Thorac.
ALIMENTARY
1965.
A good review of coarctation of the aorta with experiences in 584 cases of resection.-William RikeT. METABOLICALTERATIONS NOTEDIN CYANOTIC AND ACYANOTICINFANTSDURINGOPERA’TION UNDER HYPERBARICCONDITIONS. W. F. Bernhurd et al. J. Thorac. vast. Surg. 50: 1965.
& Cardio-
Observations on 107 infants operated on under hyperbaric conditions are reported. A marked improvement in survival is shown among the cyanotic infants compared to the previous experiences. Severe alterations of acid-base equilibrium were found in about one half of the cases with acidosis and an increase in lactic acid in most instances. Management with tris buffer and sodium bicarbonate was attempted with variable success.-William Riker. ACQUIREDAORTIC STENOSISIN A 12 YEAR OLD GIRL WITH XANTHOMATOSIS: SucCESSFULSURGICALCORRECTION.P. Stanley, C. Chartrand and A. Dauignon. New Eng. J. Med. 273:1378, 1965. The authors report the case of a 12 year old girl with familial hypercholesterolemia and xanthomatosis who developed supravalvular aortic stenosis. She had soft subcutaneous nodules typical of xanthomatosis and elevation of the serum cholesterol and total blood lipids. Cardiac symptoms included dizzyness, precordial pain on exertion. and weakness of the right arm. Cardiac catheterization showed “a gradient of 108 mm. Hg across the aortic valve at there were extensive rest.” At operation atheromatous plaques covering the intima of the aorta extending down into the aortic
TRACT
TEMPORARYTUBE PHARYNGOSTOMY IN THE STAGEDREPAIROF CONGENITALTRACHEOESOPHAGEALFISTIJLA.J. L. Talbeti I. A. HalleT, Jr. Surgery Ten cases of tracheoesophageal correction presented. means of pooling in pouch. A
58:737,
and
1965.
esophageal atresia with fistula in which a staged
of the anomaly is indicated are It is necessary to provide a preventing all secretions from the proximal blind esophageal method of catheter drainage of
this pouch is described in which a small cervical incision is made over the tip of a curved forcep inserted into the pharynx through the baby’s mouth. This provides drainage without necessitating a tube in the nose or mouth and without disturbing the proximal esophageal pouch in any manner that would make subsequent anastomosis difficult-Daniel T. Cloud. TRACHEOESOPHAGEAL FISTLTLAASSOCIATED WITH ESOPHAGEALDUPLICATION. R. Y.
Wolf, L. Duncan 58~728,
and 1. W. Pate. Surgery
1965.
The case presented is the fifth instance of this anomaly reported in the literature. In the common form of esophageal atresia with tracheosophageal fistula, the upper esophageal pouch may overlap the lower segment producing a situation anatomically similar to duplication. Duplication can be diagnosed, however, when there is demonstrated a definite muscular wall common to the upper and lower esophageal segments, with overlapping of the mucosal tubes. In this case it was possible to close the tracheoesophageal fistula and establish continuity between the upper and lower esophageal segments without resorting to resection and circumferential anastomosisDaniel T. Cloud.