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  • 1
    Electronic Resource
    Electronic Resource
    Repair of an acute type a dissection: Fate of the remnant false lumen and preserved aortic valve (1999)
    Springer
    Surgery today 29 (1999), S. 413-418 
    Details
    ISSN: 1436-2813
    Keywords: acute type A dissection ; false lumen
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract From January 1992 through March 1997, 75 patients (DeBakey type I/II=56/19) underwent a surgical repair of a type A acute dissection. The patients included 37 men and 38 women ranging in age from 23 to 83 years with a mean of 65 years. All patients were admitted to our hospital with a mean interval of 2.2 days from the episode of onset. The overall hospital mortality rate was 25% (19/75). There were three late deaths among the 56 patients discharged from the hospital. The actuarial survival rate for the patients surviving the operation was 87% at 5 years after repair. A subsequent aortic operation was necessary in 6 patients, while 3 other patients who had late aortic complications were put on medical therapy alone. As a result, the aortic event-free survival rate was 54% at 5 years. For a type I dissection the false lumen was completely thrombosed after repair in 34%. The descending thoracic aorta with a patent false lumen was markedly enlarged in proportion to the follow-up time. After a conservative approach to the aortic valve, all but one patient demonstrated an adequate valve function throughout this study period. This experience with a midterm follow-up showed an acceptable durability of the preserved aortic valve and a progressive enlargement of the persistent false lumen with a high rate of aortic complications. Hence, all patients with a type A dissection need a close follow-up to assess the aorta for complications of either recurrent or residual aneurysms and dissections.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02483032
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  • 2
    Electronic Resource
    Electronic Resource
    Repair of an Acute Type A Dissection: Fate of the Remnant False Lumen and Preserved Aortic Valve (1999)
    Springer
    Surgery today 29 (1999), S. 413-418 
    Details
    ISSN: 1436-2813
    Keywords: Key Words: acute type A dissection ; false lumen
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s005950050434
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Long-Term survivor of ruptured hepatocellular carcinoma after two hepatic resections (1994)
    Springer
    Journal of hepato-biliary-pancreatic surgery 1 (1994), S. 289-293 
    Details
    ISSN: 1436-0691
    Keywords: ruptured HCC
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We report here a long-term survivor of ruptured hepatocellular carcinoma (HCC). A 37-year-old Japanese man complained of sudden abdominal pain after taking an alcoholic drink. Ultrasonographic examination showed a large amount of fluid in the abdominal cavity. Emergency laparotomy was performed. A solid mass showing extrahepatic growth was present in the right lobe of the liver. No active bleeding site was detected, but the tumor was covered with old blood coagula. The tumor was covered with the greater omentum to prevent further hemorrhage. Following assessment of the extent of the tumor and of liver function, delayed hepatectomy was performed. Histological examination indicated the tumor to be HCC. Twenty-six months after initial hepatic resection, partial resection of the liver was performed again for recurrent tumor. The patient has survived without recurrence for more than 5 years. The long survival was due, we believe to the liver being non-cirrhotic, the delayed hepatic resection, and the early detection of the recurrent tumor.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02391083
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Spontaneous subcapsular hepatic hemorrhage associated with pregnancy: Report of a case (1997)
    Springer
    Surgery today 27 (1997), S. 657-660 
    Details
    ISSN: 1436-2813
    Keywords: hepatic hemorrhage ; pregnancy ; CO2 angiography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We report herein a case of spontaneous subcapsular hepatic hemorrhage which occurred in a 33-year-old woman 1 day after she had been delivered of her second child by cesarean section following an uneventful pregnancy. She complained of right upper quadrant pain on the 1st postoperative day, and computed tomography (CT) showed subcapsular low-density masses in both liver lobes, while extravasation was demonstrated by CO2 intraarterial digital subtraction angiography (IADSA). The hemorrhage was successfully controlled by transcatheter arterial embolization (TAE). However, on the 3rd day after TAE, an exploratory laparotomy was performed to establish an exact diagnosis to explain the persistent abdominal pain and abnormal liver function tests. Subcapsular hematomas in both lobes were confirmed and no visible laceration was present. The patient recovered gradually by spontaneous absorption of the hematomas and was discharged on the 22nd postoperative day. Spontaneous hepatic hemorrhage associated with pregnancy is a very rare complication, and establishing a correct diagnosis and initiating appropriate therapy are essential for this life-threatening disease.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02388225
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    Paper (German National Licenses)
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