Surgical treatment of congenital aortic valvular stenosis

618

ABSTRACTS

cussed. These are specially related to the anom-

died of associated purulent

alous

--C.

path

posterior

of

the

situation

the abnormal

right

coronary

artery,

the

of the pulmonary

artery,

and

anatomy

of the right

ventricular

Surgical Treatment of Congenital Aortic Valvular Stenosis. L. Chiorieilo, P. V/ad,

J. F. R. Bent/e!

outflow tract.-

bronchopneumonia.

Jausri-Boveer

romanion. Thorox 31:398-404 Takedown and Reconslruction of Cavopulmonary Anastomosis. J. Rohmer, J. M. Quaegebeur, and A. G. km.

Ann Thoroc Surg

23:129-134

(Februroy), 1977. This article construction

congenital

thought

heart

of the lungs in one patient lung

its blood

supply

by arterial

from

injection

In

to have

un-

severe congestive heart failure

With

the

dem-

of the upper

lobe

with

the

area is seen to gain

systemic collateral

demonstrates

flow

Postoperaagain

equal

Row to the lung after reconstruction.-Keirh

W.

Ashrrafr

cardiac

anomalies.

ular hypertrophy. experienced fatigue.

the

infants

had

infants

had

older

patients

being

and

by aortic undertaken

with circulatory

I

aged under

arrest in 2. Three

mo died

operation.

of acute

Follow

heart

up revealed

late restenosis in 2 patients, one died 312yr after operation, votomy.

the

other

underwent

In the two surviving

revision

val-

infants the result

was fair. In older patients the result was graded

Total Anomalous

Systemic Venous

Drainage.

P. Vi&, J. LeClerc, Q. Prime, and 0. PO&. Am J Dis

Total

anomalous

systemic

venous

in a boy 3 yr 4 mo old presented cal disability,

with

electrocardiographic

graphic

features.

drainage

without

cyanosis,

specific

angiography

with

and

roentgeno-

Cardiac

catheterization total

into

the

left

and

systemic

atrium

and

Angiographic

an car-

findings were con-

firmed at surgery and repair was successful with uneventful

G. DeLuca

recovery.--Frank

nate. F. Wyler ond M. Rufishauser. Helv Poed Acto

Atrial

(January), 1976. Septal

for its relatively

Defect

in 7 patients.

discussed pulmonary

and

The reasons

An Experimental Study in the Piglet. 6. Nelson and L. Okmian. 2. Kinderchir 19:352-364, Attention

has

been

focused

and nonabsorbable

the

early

anastomosis

of the esophagus in rats performed During

1976.

on

phase of healing of the end-to-end

with absorb(silk)

the first two weeks leakage

sutures.

of contrast

medium through the silk suture tracks was common when single layer anastomoses

or

to

were used.

in early

agus and were not covered by mucosa. was also demonstrated layer

PGA

layer

anastomoses

after

the

disturbance

are thought although

to be

improved

PGA

by conservative

treatment,

decrease

lumen.

did not occur. It was possible

of the

suture

was

all

PGA in

leakage

when

Three

and two

weeks

anastomoses

without

visible

stimulate

not

used.

surface

As submucosal sutures

but

were

operation

Leakage one

in most of the one

anastomoses,

showed a smooth

of the LR-shunt

to a later date. One child

submocosally

two weeks postoperatively

decreasing

the cause in these cases. Six infants

to defer the operation

TRACT

One, Two, and Three Weeks Postoperatively:

for this are

rapidly

resistance

compliance

known

was found

heart failure

a probable

vascular

of left ventricular

usually

course,

be the cause of congestive

ALIMENTARY

The silk stitches lay in the lumen of the esoph-

(ASD).

benign

in older

Healing of Esophageal End-to-End Anastomoses

able (PGA)

Symptomatic Atrial Septal Defect in the Neo30:399-408

that pallia-

has a high risk in infancy.

F. R. BenIle)

patients.-J.

non-

septic defect as the only additional

diac anomaly.

tive aortic valvotomy

physi-

and

demonstrated

venous drainage

in seven, fair in

four, and poor in two. It is evident

but that the results are more gratifying

Child 131:195, 1977.

infancy

to

bypass in 20 and deep

excellent in three, satisfactory

atrial

17

with left ventric-

of the

operation

failure following

one third the

were treated

with cardio-pulmonary hypothermia

addition

and two had syncope

All the patients

valvotomy.

All

Three

angina

BulTalo.

stenosis, with a bicus-

other

of the isotope.

tively, scintiscanning

valvular

yr.

pid valve present in 17 patients,

associated

This

aortic

2-24

re-

preoperatively

when

anastomosis.

between

pa-

defects.

onstrates the hypoperfusion Glenn

aged

and

anastomoses

development of a right ventricular outflow tract prostheses they were corrected. Scintiscanning

of the right

were

from

one year of age and

in four

describes the takedown

tients who were initially

22 patients

five were under

cogenital

of Glenn

correctable

In this series of N.Y.,

and 5. Sub-

(August), 1976.

leakage.

the

and

rejection

scar strictures

sutures are recommended.-Karl-Ludwig

No

esophageal PGA

Waag