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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of cardiac surgery 9 (1994), S. 0 
    ISSN: 1540-8191
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The classical triad of sudden devastating chest pain, electrocardiographic absence of acute myocardial Infarction, and Identification of an upstream flap in the ascending aorta by transesophageal echocardlography (TEE) Indicates aortic type A dissection requiring emergent surgery. Among 34 patients presenting with clinical signs and symptoms of an aortic dissection, three did not show the mandatory flap in the upstream aorta. The only echocardlographic finding was aortic wall thickening Indicating an intramural hematoma. Two of these patients showed early aortic ectasia and one showed a pericardial effusion. Despite the missing flap echocardiographlcally, surgery was performed in all three patients. The surgical approach was the same as that for patients with a type A dissection. Two patients are doing well after the procedure, and one patient died after reoperation. The postoperatlve histologic work-up confirmed that there was no intimal tear or dissection of the intimal layer. We conclude that the echocardiographic finding of an Intramural hematoma combined with typical clinical signs of chest pain, with myocardial infarction ruled out, requires emergent surgical intervention. (J Card Surg 1994;9:508–515)
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Amsterdam : Elsevier
    Journal of Chromatography B: Biomedical Sciences and Applications 568 (1991), S. 105-115 
    ISSN: 0378-4347
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Chemistry and Pharmacology
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 302 (1978), S. 333-336 
    ISSN: 1432-1912
    Keywords: Human atrial preparations ; α-adrenoceptors ; Phenylephrine ; Positive inotropic effect
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary In isolated, electrically driven right auricular strips of the human heart the inotropic effect of phenylephrine was studied. 1. First, the influence of the driving rate on the tension developed (i.e., the frequency-force relationship) was determined by stimulation of the preparations at 0.1, 0.5, 1, 2 and 3 Hz. The force of contraction was lowest at a stimulation rate of 0.1 Hz (36.9 g/g dry weight). The maximally developed force of contraction observed at frequencies of 0.5, 1, and 2 Hz amounted to about 200 g/g dry weight. The values did not significantly differ from each other. 2. The negative log of the EC50(−log EC50) for the positive inotropic effect of phenylephrine determined at a frequency of 0.5 and 1.0 Hz amounted to 5.28±0.08 and 5.34±0.11, respectively. The α-adrenolytic drug phentolamine (3×10−6 M) diminished significantly the −log EC50 to 5.01±0.04 and 4.89±0.10, respectively. 3. At a frequency of 1 Hz a shift of the concentration-response curve to the right was observed after treatment with the β-adrenolytic drug pindolol (3×10−8 M); the −log EC50 of phenylephrine decreased significantly to 4.08±0.07. 4. From these results it is concluded that α-adrenoceptors are present in human atria; they mediate positive inotropic effects and are stimulated by phenylephrine.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 352 (1980), S. 291-292 
    ISSN: 1435-2451
    Keywords: Lower tracheal stenosis ; Tracheobronchial disruption ; Emergency cardiopulmonary bypass. ; Tiefe Trachealstenose ; Trachealzerreißung ; Notfalleinsatz extrakorporale Zirkulation.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Schwerwiegende thorakale Trachealläsionen können gelegentlich zu einer bedrohlichen Behinderung der Atmung führen, die mit konventionellen Methoden nicht mehr zu beherrschen ist. In einem solchen ≫Beatmungsnotfall≪ erscheint uns der notfallmäßige Einsatz der extrakorporalen Zirkulation zum Zwecke der Abwendung des drohenden Herzstillstandes, der evtl. notwendig werdenden Wiederbelebung und Stabilisierung des Patienten gerechtfertigt und geradezu Voraussetzung für die Trachealrekonstruktion zu sein. Über zwei nach diesem Konzept behandelte Patienten wird berichtet.
    Notes: Summary Rapid cardiopulmonary deterioration and imminent hypoxic cardiac arrest in patients with extensive lesions of the lower trachea present a serious challenge in emergency care. Conventional methods may prove inadequate to achieve airway control and stabilize the critical condition. Institution of emergency cardiopulmonary bypass for resuscitative purposes and definite surgical repair of those life-threatening uncommon tracheal lesions seems essential to us. Two cases, managed according to this concept, are presented.
    Type of Medium: Electronic Resource
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