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Structural heart disease: one valve does not fit all.
Curr Opin Support Palliat Care
March 2019
University Hospitals Cleveland Medical Center/Harrington Heart & Vascular Institute, Cleveland, Ohio, USA.
Purpose Of Review: Highlight the difficulties patients, physicians, and the global economy face in relation to treatment of structural heart diseases. It is easy to be carried away by the excitement of medical advancement; however, it is difficult to demonstrate restraint. Transcatheter aortic valve replacement (TAVR) is a modern marvel that can help many patients when utilized appropriately.
View Article and Find Full Text PDF[Value of echocardiography-dobutamine in the study of reserve myocardial contractility in aortic stenosis with alteration of left ventricular function. Apropos of a case].
Ann Cardiol Angeiol (Paris)
November 1996
Service de Cardiologie, Hôpital Cardiologique du Haut-Lévêque, Pessac.
The authors report a case of tight aortic stenosis, without coronary artery disease, presenting with heart failure, alteration of global left ventricular contractility and a low gradient. Increasing-dose dobutamine echocardiography demonstrated an improvement of myocardial contractility and an accentuation of the transvalvular gradient. The place of this examination in the therapeutic strategy and follow-up of the disease is discussed in the light of the current data of the literature.
View Article and Find Full Text PDF[Arthroscopic treatment of chronic anterior instability of the shoulder by staple capsulorrhaphy. Apropos of a series of 55 patients with a minimum of 18 months follow-up].
Rev Chir Orthop Reparatrice Appar Mot
January 1997
Service d'Orthopédie, Hôpital de Hautepierre, Strasbourg.
Purpose Of The Study: The authors studied the results of the arthroscopic staple capsulorrhaphy of 55 patients who had recurrent anterior shoulder instability.
Materials And Methods: There were 38 men and 17 women. The average age at operation was 30.
[15 years survival of the Mac-Kee Farrar metal hip prosthesis. Apropos of 58 cases and 4 explanted cups].
Rev Chir Orthop Reparatrice Appar Mot
October 1996
Clinique Orthopédique du Parc de Lyon.
Purpose Of The Study: Despite a high percentage of loosening (femoral, iliac or both), many surgeons have been surprised by some excellents results of Mac Kee Farrar prosthesis after 15, or even 20 years follow-up.
Materials And Methods: 37 patients (on 58) were reviewed with a follow-up of more than 15 years (48 hips). Among 17 cases followed for more than 20 years, with very good results (clinical and radiological), only one femoral loosening was observed.
[Introductory chemotherapy in epidermoid carcinoma of the head and neck. Apropos of a retrospective study of 293 patients].
Rev Laryngol Otol Rhinol (Bord)
October 1996
Service d'O.R.L. et de Chirurgie Cervico-Faciale, C.H.U. de Rangueil, Toulouse, France.
The authors present a retrospective study of 293 patients treated by neoadjuvant chemotherapy for squamous cell carcinoma of the head and neck without metastases. The results are globally analyzed for all localizations, as well as separately for each localization (larynx, hypopharynx, oropharynx). The aims of this study are to evaluate the results of neoadjuvant chemotherapy in the different tumor sites of the upper aerodigestive tract, to identify the predictive factors of a complete response, and to ascertain if neoadjuvant chemotherapy allows to alleviate the locoregional treatment without compromising survival.
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