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  • 1
    Electronic Resource
    Electronic Resource
    Geschichtliche Entwicklung der extrakorporalen Zirkulation Isolierte Organperfusion im 19. Jahrhundert (2000)
    Springer
    Zeitschrift für Herz-, Thorax- und Gefässchirurgie 14 (2000), S. 93-99 
    Details
    ISSN: 0930-9225
    Keywords: Schlüsselwörter Kardiopulmonaler Bypass ; Geschichte ; Bubble-Oxygenator ; Film-Oxygenator ; Key words Cardiopulmonary bypass ; history ; bubble-oxygenator ; film-oxygenator
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Historic development of extracorporeal circulation began with the perfusion of isolated organs by physiologists in the 19th century. Those experiments led to the development of the basic principles of the perfusion technique, such as bubble-oxygenation and film-oxygenation, systems for pulsatile pumping and the closed extracorporeal circuit. The idea for using extracorporeal circulation for cardiovascular surgery was born at the beginning of the 20th century.
    Notes: Zusammenfassung Die historische Entwicklung der extrakorporalen Zirkulation begann mit den isolierten Organperfusionen der Physiologen des 19. Jahrhunderts. Diese Experimente führten zur Entwicklung der Grundlagen der Perfusionstechnik, wie der Bubble- und Film-Oxygenation, sowie pulsatilen Pumpensystemen und dem geschlossenen extrakorporalen Kreislauf. Die Vorstellung, dass die extrakorporale Zirkulation im Zusammenhang mit herz- oder gefäßchirurgischen Eingriffen genutzt werden könnte, entstand schon zu Beginn des 20. Jahrhunderts.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003980070028
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Abnormer Ursprung der rechten Pulmonalarterie aus der Aorta ascendens: eine seltene Ursache einer rechtsventrikulären Dekompensation im Säuglingsalter (2000)
    Springer
    Zeitschrift für Herz-, Thorax- und Gefässchirurgie 14 (2000), S. 151-154 
    Details
    ISSN: 0930-9225
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary A 6-month-old infant was investigated for the first time at the German Heart Institute because of right ventricular insufficiency. The echocardiogram revealed right ventricular dilatation, severe tricuspid valve regurgitation, pulmonary hypertension and abnormal origin of the right pulmonary artery from the ascending aorta. The subsequent catheterization confirmed the diagnosis and the increased pulmonary vascular resistance in the right and left lung. The infant underwent immediate cardiac surgery and re-implantation of the right pulmonary artery in a newly created bifurcation using pericardial patch material. The postoperative course was complicated by persistent pulmonary hypertension, which was successfully treated with inhaled nitric oxide (NO).    The infant was discharged in good cardiorespiratory conditions on the 15th postoperative day.    Conclusion: Right ventricular failure and pulmonary hypertension in infancy can be associated with the rare malformation of abnormal origin of the pulmonary artery from the ascending aorta.
    Notes: Zusammenfassung Wir berichten über ein nunmehr 6 Monate altes Kind, welches im Alter von 2 Monaten durch eine Rechtsherzinsuffizienz unklarer Ursache auffiel. In der transthorakalen Echokardiographie und in der sich unmittelbar anschließenden Herzkatheteruntersuchung wurde eine fehlentspringende rechte Pulmonalarterie (RPA) aus der Aorta ascendens diagnostiziert. Die operative Korrektur erfolgte am Folgetag durch Re-implantation der RPA in den Pulmonalarterienstamm unter Erweiterung der Neo-Bifurkation mit Perikardflicken. Der postoperative Verlauf war komplikationslos.    Schlussfolgerung: Eine unklare RV-Dekompensation geht in einigen seltenen Fällen auf eine abnormal entspringende RPA zurück, die initialen Symptome hängen dabei entscheidend vom Ausmaß der sekundären pulmonalen Hypertension ab.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003980070023
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Acute hemodynamic effects of post cardiotomy peritoneal dialysis in neonates and infants (2000)
    Springer
    Intensive care medicine 26 (2000), S. 101-104 
    Details
    ISSN: 1432-1238
    Keywords: Key words Peritoneal dialysis ; Acute renal failure ; Congenital heart disease ; Cardiac output measurements ; Open chest
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objective: Evaluation of the acute hemodynamic changes during peritoneal dialysis in patients with low cardiac output syndrome and acute renal failure after open heart surgery.¶Patients: Three newborns and three infants after corrective surgery of congenital heart disease with post cardiotomy dialysis. Five of these had an open thorax during dialysis.¶Methods: Cardiac output measurements using the thermodilution technique on two consecutive days at four different times during the peritoneal dialysis cycle.¶Results: We did not find a deterioration of the cardiac index or systemic vascular resistance measured over two cycles in each of the six patients. Pulmonary artery pressure rose slightly after instillation of the dialysate solution in all patients. Changes in central venous pressure and left atrial pressure were not clinically meaningful. In all patients fluid removal by peritoneal dialysis was effective. All five surviving patients recovered renal function.¶Conclusions: Peritoneal dialysis can be performed in newborns and infants following cardiac surgery without causing acute hemodynamic imbalances. An open chest may have a significant impact on hemodynamic stability during peritoneal dialysis by blunting any possible negative alterations of increased intraabdominal pressure.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001340050020
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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