Management of ascites with hydrothorax.

Hydrothorax occurs in 5.3 percent of ascitic patients. Our experience with 22 cases forms the basis of this report.

Coronary artery dissection secondary to coronary arteriography: case report and review.

A case of catheter-induced proximal dissection of an angiographically normal left coronary artery is reported. Dissection was not associated with pressure damping and myocardial ischemia was delayed until 1 hour after dissection occurred. Prompt recognition of this entity is essential as emergency revascularization is the treatment of choice when significant amounts of myocardium are threatened.

Limb salvage by inverted "Y" grafts to below knee arteries.

(1) An inverted Y graft to the proximal tibial arteries is described, and the limited clinical experience with this type of graft is presented. (2) The inverted Y graft provides a low-resistance high-low situation, which theoretically favors graft patency. (3) This clinical series confirms the value of bypass procedures to small, below-knee arteries in limb salvage situations.

The distribution patterns of biatrial myxomas.

Biatrial myxomas are extremely rare, and by 1970 only three of eight attempts at removal had been successful. Another successful removal, the difficulty of establishing the biatrial nature of a myxoma by echocardiography, and a summary of the distribution patterns of biatrial myxomas are presented here. In more than 50% of patients, both pedicles grew into separate atrial chambers from a common location in the atrial septum.

Prehepatic hyperalimentation.

A technique for prehepatic infusion of parenteral nutrients is described. Portal vein hyperalimentation allows hepatic modification and control of the infused nutrients before delivery of these substances into the general circulation and theoretically should reduce the incidence of metabolic complications of hyperalimentation. The clinical experience with prehepatic infusions is reported and the metabolic investigations are described.