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7 results on '"Chatel, D"'

1. [Repair of post-infarction left ventricular wall ruptures by biological glue and a flap from the pericardium. Results from 2 to 10 years]

Author

Hvass U, Chatel D, Patrick Assayag, Jm, Juliard, Caliani J, Oroudji M, and Pansard Y

Subjects
Male, Treatment Outcome, Suture Techniques, Heart Rupture, Myocardial Infarction, Humans, Female, Fibrin Tissue Adhesive, Middle Aged, Pericardium, Aged, Follow-Up Studies, Retrospective Studies
Abstract

The authors report their experience with a simple and efficient technique for repair of left ventricular free wall rupture complicating myocardial infarction. The technique consists, with the aid of cardiopulmonary bypass, in suturing a plaque of the patients own pericardium (6 to 8 cm in diameter) to the more normal tissue encircling the pathologic myocardium, and by injecting five ml of human fibrin glue as a cement under the pericardium to reinforce the remair and prevent leaking throughout the suture line. With a 10 year follow-up, we are able to be confident with the long term results. The five patients, at the time of operation were aged 46 to 74 years. The post-operative results and the annual echocardiographic controls have proved the technique to be sound without recurrences and without late complications such as pseudo aneurysms at the site of the repair.

Published
1996

2. [Mitral valve repair by transfer of the posterior tricuspid leaflet and its chordae]

Author

Hvass U, Chatel D, Patrick Assayag, Jm, Juliard, Laperche T, Caliani J, Oroudji M, and Pansard Y

Subjects
Adult, Endocarditis, Mitral Valve Insufficiency, Middle Aged, Postoperative Complications, Treatment Outcome, Echocardiography, Chordae Tendineae, Humans, Mitral Valve, Mitral Valve Stenosis, Tricuspid Valve, Aged, Follow-Up Studies
Abstract

Mitral valve repair was performed in six patients by transferring the posterior tricuspid leaflet with its sub-valvular apparatus onto the mitral valve. This new technique considers the tricuspid valve as the patients own tissue bank where the posterior leaflet and eventually the adjacent part of the anterior leaflet is used as a "donor" valve, based on the knowledge that the right atrio-ventricular valve can be efficiently repaired with a very low risk of significant dysfunction. The mitral repair consists of incorporating the tricuspid autograft by securing the tricuspid papillary muscle to the mitral papillary muscle and by suturing the leaflet tissue where required. A mitral annuloplasty ring reinforces the repair. The tricuspid valve is subsequently repaired by annular plication and leaflet suture. A tricuspid ring is necessary to maintain efficient remodeling. The six patients ages ranged from 20 to 70 years. A etiology, was rheumatic in the first case and degenerative in the following. In three cases, sterilised endocarditis was responsible for ruptured chordae and leaflet destruction. The mitral insufficiency was located in a commissural area in 4 cases, and was due to a widespread posterior prolapse in 2. Post-operative control transesophageal echocardiography confirmed the excellent results of the repair and proved that, in selected cases, the tricuspid leaflet inserted onto the mitral apparatus is very efficient in correcting mitral insufficiency, without causing significant tricuspid impairment. With a 3 to 7 month follow-up, the results are stable.

Published
1996

4. [Blunt force rupture of the thoracic aorta and diaphragm: an unusual association].

Author

Duverger V, Saliou C, Lê P, Chatel D, Johanet H, Acar C, Gigou F, and Laurian C

Subjects
Accidents, Traffic, Adult, Aorta, Thoracic surgery, Aortic Rupture surgery, Diaphragm surgery, Female, Hernia, Diaphragmatic, Traumatic surgery, Humans, Physical Examination, Treatment Outcome, Wounds, Nonpenetrating, Aorta, Thoracic pathology, Aortic Rupture pathology, Diaphragm pathology, Hernia, Diaphragmatic, Traumatic pathology
Abstract

The aim of this study was to report two cases of rupture of the right hemidiaphragm with intra-thoracic liver hernia, associated with a traumatic aortic disruption. These two lesions followed traffic accidents, and were both treated separately. Both patients had a long-term favourable progression. Association of these two lesions is particularly rare: fewer than 50 cases have been previously described in an extensive review of the literature. CT-scan seems to be particularly efficient in diagnosis, even if less efficient than other more specific explorations. The order of surgical management is guided by the physical examination, and especially by abdominal emergency.

Published
2001
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5. [Anatomoclinical study of aortic insufficiency in atrophic polychondritis. Apropos of a case].

Author

Thuaire C, Benamer H, Brochet E, Aubry P, Hayem G, Vissuzaine C, Chatel D, and Assayag P

Subjects
Adult, Aortic Aneurysm, Thoracic diagnosis, Aortic Aneurysm, Thoracic surgery, Aortic Valve Insufficiency diagnosis, Aortic Valve Insufficiency surgery, Aortography, Blood Vessel Prosthesis Implantation, Echocardiography, Transesophageal, Heart Valve Prosthesis Implantation, Humans, Male, Polychondritis, Relapsing diagnosis, Treatment Outcome, Aortic Aneurysm, Thoracic etiology, Aortic Valve Insufficiency etiology, Polychondritis, Relapsing complications
Abstract

The authors report the anatomo-clinical features of aortic insufficiency complicating atrophic polychondritis, a rare inflammatory disease affecting mainly cartilaginous tissues. This case illustrates the inflammatory changes of the aortic wall, particularly progressive during this disease, responsible for aortic insufficiency and aneurysmal dilatation of the ascending aorta which required aortic valve replacement and prosthetic replacement of the ascending aorta. Histological analysis showed inflammatory lesions of the aortic wall comparable to the cartilaginous lesions described in this condition and suggesting a common physiopathogenic mechanism.

Published
1997

6. [Pulmonary valve replacement for endocarditis. Apropos of 2 cases].

Author

Chatel D, Longrois D, Lenormand C, Calvat S, Timsit JF, Brochet E, Boccara A, and Hvass U

Subjects
Adult, Aged, Anti-Bacterial Agents therapeutic use, Bioprosthesis, Echocardiography, Transesophageal, Emergencies, Endocarditis, Bacterial diagnostic imaging, Endocarditis, Bacterial drug therapy, Endocarditis, Bacterial etiology, Humans, Male, Opioid-Related Disorders complications, Prognosis, Pulmonary Valve, Staphylococcal Infections complications, Staphylococcal Infections drug therapy, Streptococcal Infections complications, Streptococcal Infections drug therapy, Treatment Outcome, Endocarditis, Bacterial surgery, Heart Valve Prosthesis methods
Abstract

The authors report two cases of pulmonary valve endocarditis which required emergency surgical treatment. A 74 year old patient with trivalvular endocarditis (pulmonary, aortic, mitral), due to Sptreptococcus D bovis, developed cardiogenic shock with acute pulmonary oedema and underwent double aortic and pulmonary valve replacement with Carpentier-Edwards prostheses and simple resection of a mitral valve vegetation. Another 36 year old drug addict developed isolated pulmonary valve endocarditis due to Staphylococcus aureus infection complicated by pulmonary regurgitation with right ventricular failure and by septic pulmonary embolism with persistent sepsis: he underwent pulmonary valve replacement with a Bravo 300 bioprosthesis. The postoperative course was uncomplicated in both cases, with interruption of the infection and normalisation of the haemodynamic status. The insidious and severe nature of pulmonary valve endocarditis is demonstrated by these two cases, confirming previous reports which have underlined the poor prognosis of this condition. Surgery has been shown to be effective and well tolerated and should be integrated early in the therapeutic strategy, the results being all the better when an aggressive attitude is taken.

Published
1996

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