Archives des maladies du coeur et des vaisseaux
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Arch Mal Coeur Vaiss · Nov 1977
Case Reports[Endocarditis due to staphylococcus aureus during cardiomyopathy].
In a patient suffering from obstructive cardiomyopathy (IHSS), the onset of septicaemia due to staphylococus aureus was accompanied: 1. by the appearance of massive mitral incompetence and of cardiac failure; 2. by a marked reduction in the left intra-ventricular pressure gradient; 3. by acute reversible renal failure (interstitial nephritis); 4. by a glomerulonephritis with immune complexes deposits. After the septicaemia had been treated, replacement of the mitral valve by a disc prosthesis of Lillehei was carried out. Twenty months after the operation, the patient was completely asymptomatic, and catheterisation showed that the left intra-venticular pressure gradient had disappeared, as had the haemodynamic signs of cardiac failure.
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Arch Mal Coeur Vaiss · Aug 1977
Case Reports[Left bundle of His branch block in stages 3 and 4 with conduction in the right branch only in a super-normal period].
The authors report a case of chronic second degree atrio-ventricular block with permanent right bundle branch block. Intracavitary electrophysiological recordings allowed them to delimit the refractory period of the left branch, which was affected by a block during phase 3 but also during phase 4. They showed that there was possible conduction by the right branch during the extremely fine time limits of a supernormal period; using an atrial stimulation rate of 150/mn, it is therefore possible to obtain 1/1 conduction in the presence of a left bundle branch block.
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Arch Mal Coeur Vaiss · Sep 1976
Case Reports[Acute dissection of the ascending aorta and major aortic insufficiency in Marfan's syndrome. Emergency operation with succes].
The authors report the case of acute dissection of the aorta (type I) with sudden aortic incompetence occurring in a young lady of 25 years of age with Marfan's syndrome. An urgent operation had a successful outcome; the ascending aorta was resected in toto, and replaced with a prosthesis, the coronary arteries being reimplanted.
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Arch Mal Coeur Vaiss · Aug 1975
Clinical Trial[Phentolamine in treatment of acute left ventricular insufficiancies].
Phentolamine (Regitine) at the dose of 0.3 mg/mn behaves as an arterial and, above all venous, vasodilatator agent, resulting in a marked and early lowering of the pulmonary pressures in acute oedema of the lung and in cardiac asthma. It was used alone in 47 attacks of acute severe left ventricular failure with very favourable results in 43 cases, as proved by the rapid improvement of the haemodynamic status and of the aicd-base balance. Under strict observation, tolerance has been excellent. This therapeutic method seems of great interest in the cases of acute pulmonary oedema with a maintained blood pressure level, and in the forms with severe arterial hypertension which might tolerate larger doses.