Fourty-three operations were performed on a total of 41 patients consisting of atrial septal defect, ventricular septal defect, ventricular septal defect with pulmonary stenosis, tetralogy of Fallot, aortic valve stenosis, pulmonary valve stenosis and coarctation of the aorta under hypothermia using intrathoracic rewarming. All patients but 2 cases with tetralogy Fallot have been completely cur...

PERFUSION DURING OPEN-HEART SURGERY Since the description of the Azygos factor by Andreasen and Watson in 1951, perfusion criteria have been much debated. Early investigators fluctuated between a high and low flow rates and the debate continues today. 2 · 3 ' •· 5 '" Hypothermia has been both widely acclaimed and generally repudiated. 7 • 8 Anoxic arrest of the heart' 0 ' n. z, 12 versus corona...

surgery. A study was made into the factors influencing the onset of jaundice in 102 patients undergoing valve replacement during cardiopulmonary bypass. Postoperative jaundice appeared to be correlated with double valve replacement, the co-existence of an uncorrected valvular lesion, length of perfusion and myocardial ischaemia times, and also the age of the patient. Factors appearing not to be...

BACTERIAL ENDOCARDITIS following intracardiac surgery for congenital defects with use of extracorporeal circulation is a new entity, as old only as open intracardiac surgery. The reported experience is therefore meager. Suggestions regarding its pathogenesis, recognition, behavior, management, and prevention are few. Heins and Lindel reported five cases of bacterial endocarditis in a series of ...