ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1968.tb02524.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1968.tb02525.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1968.tb02526.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

摘要:

SummaryA consideration of the radiological contribution to the diagnosis and management of the three common forms of cyanotic congenital heart disease is presented.The infant with tetralogy of Fallot or pulmonary atresia with ventricular septal defect is usually studied before palliative surgery is undertaken. The site of obstruction to pulmonary blood flow and the presence of suitable pulmonary arteries to receive an anastomosis must be established. In the older patient presenting for repair detailed assessment of the intracardiac anatomy as well as the sites of obstruction and routes of filling of the pulmonary arteries is desiiable. Some variations of the anatomy of ventricular septal defect in tetralogy of Fallot are described.Following a brief consideration of the relationship of straightforward transposition of the great vessels to the normal state and to the partial transposition complexes, the radiological assessment of the neonatal infant with transposition is presented. The diagnosis of transposition, the state of the interventricular septum, and the state of the ductus arteriosus must be established and sometimes pulmonary stenosis excluded to assist in the selection of the most suitable palliation. Before correction, a complete anatomical assessment of intracardiac anatomy, including detail of the outflow tracts, is necessary.

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1968.tb02527.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

摘要:

SUMMARYThe surgery of tetralogy of Fallot is, in experienced hands, most satisfactory. Palliation can be successfully applied even in tiny infants, using a right pulmonary artery to ascending aorta anastomosis. Corrective surgery is possible in almost all patients and carries a mortality of no more than 5%, with an 80% to 90% chance of a good long‐term result.Corrective surgery is also possible in some patients with pulmonary atresia (pseudotruncus), and ventricular septal defect, although the large bronchial collateral blood flow to the lungs may produce serious post‐operative difficulties.In transposition of the great vessels, palliative surgery is most successful in Group I patients with poor intracardiac mixing and when operation is performed within one week of birth in this group the current mortality is 8%. However, the total picture of transposition surgery leaves little room for complacency.If all groups of patients are considered, only about half will survive palliative surgery for two years or longer, and in a significant percentage, particularly Groups II and III patients, later corrective surgery carries an excessive mortality. The greatest hope lies with patients having only an atrial communication, and here the risk of a Mustard repair is acceptable and can be expected to improve with increasing experie

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1968.tb02528.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1968.tb02529.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

摘要:

SUMMARYThe cerebral scan has a clearly established role as a routine, or screening, investigation procedure in the diagnosis of cerebral tumours.In addition, it often provides significant assistance in special diagnostic problems, sometimes in which neuroradiology has not been helpful. This latter point, we believe, should be adequately weighted in the overall assessment of the role of cerebral scanning.

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1968.tb02530.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1968.tb02531.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

摘要:

SummaryClinical and radiological manifestations of arteriovenous aneurysm confined to a single limb have been discussed, and literature dealing with the subject has been reviewed. A case of arteriovenous aneurysm of the left thigh has been presented.

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1968.tb02532.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

摘要:

SummaryThe use of intermittent positive pressure ventilation is associated with a number of pulmonary complications which are of radiological importance. These complications are grouped into three categories.In the first category are cases of asthma which require resuscitation with intermittent positive pressure ventilation. These cases may develop severe air trapping which can progress to pulmonary interstitial emphysema, although the latter complication is known to develop without a respirator being used. The second category includes pulmonary oedema, and there is brief reference to the effects of oedema of the bronchial mucosa. In an appendix to the paper the possible relationship of pulmonary oedema to the body handling of salt and water when intermittent positive pressure ventilation is used is examined. The analysis of accurately recorded fluid balance data did not reveal any statistical association between the retention of sodium, potassium or water, or any combination of these three and the presence of pulmonary oedema. The third category is represented by the serious condition of obliterative pneumonitis (respirator lung syndrome).In all three categories the clinical and radiological findings and, where relevant, the pathological findings, are described.During the year 1967 it was found that of a total of 267 admissions five developed pulmonary interstitial emphysema, four during intermittent positive pressure ventilation therapy. Two died. Sixty‐nine cases (26%) developed pulmonary oedema, and in 15 cases there seemed no adequate explanation for the oedema other than factors associated with the use of a respirator. The number of cases of pulmonary oedema closely related to the use of intermittent positive pressure ventilation is considered to be higher than 15, however. Two adults and two children under 10 years of age developed fatal obliterative pneumonitis confirmed by necrops

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1968.tb02533.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY