R D Sutherland's research while affiliated with St. Anthony's Hospital and other places

Publications (12)

Article
Excessive cage strut wear allowing ball-poppet embolization caused the sudden death of a 47 year old lady in whom a DeBakey-Surgitool aortic prosthesis had been implanted nine years earlier. Patients with this type of prosthesis should have periodic valvular cine fluoroscopy with image intensification to allow visualization of significant strut wea...
Article
In 1977 Robicsek(1) described a method of sternal closure that involved a double wire on each side of the sternum, with appropriate circumferential wires. Shortly thereafter, we modified that procedure, as shown in Figure 1. Only one wire is used on each side of the sternum, and fewer circumferential wires are needed. This type of sternal closure c...
Article
In this study, six of 693 consecutive patients in 29 months who underwent only myocardial revascularization, without prophylactic systemic therapy with antibiotics, experienced infection of a clean wound. This incidence of infection (0.86 percent) in such patients is the lowest reported in the literature. Prevention of infection of clean mediastina...
Article
This report describes the only documented case of traumatic thrombosis of a congenital fistula between the left anterior descending coronary artery and the main pulmonary artery and subsequent surgery for myocardial revascularization. The patient remains asymptomatic 18 months later.
Article
A controlled study investigating clean chest wound infections in 904 patients undergoing myocardial revascularization was performed. Four hundred fifty-one patients received systemic antibiotics before and after the operation, and 453 patients received no prophylactic systemic antibiotics. The infection rate was 1.10 per cent and 1.76 per cent, res...
Article
A previously healthy 19-year-old woman taking anovulatory medication presented with symptoms of the nephrotic syndrome and lupus erythematosus. Diagnosis of inferior vena cava and bilateral renal vein thrombosis was made angiographically. The patient was treated successfully by thrombectomy and anticoagulation, and remains well 3 years later. Labor...
Article
The surgical treatment of the completely obstructed left main coronary artery is aortocoronary saphenous-vein bypass to the left coronary artery system. Without surgical intervention, this lesion has an exceedingly poor prognosis. This report describes a patient with atherosclerotic obstruction of the left main coronary artery and congenital pulmon...
Article
Twelve traumatic coronary artery-cameral fistulas have been reported in the world's literature. Ten have been secondary to penetrating injuries and two have resulted from blunt chest trauma. This case report involves the successful diagnosis and surgical treatment of a patient with a left anterior descending coronary artery-right ventricular fistul...

Citations

... Estudios previos diseñados con este fin mostraron elevaciones de hasta 5 veces el valor basal, cuando existía mediastinitis con o sin otras condiciones mórbidas agregadas, tales como insuficiencia respiratoria, requerimiento de balón de contrapulsación, etc. 29 Por último, la mortalidad reportada en los pacientes con MPQ oscila entre 8,6 y 77%, 4,16,13,28 siendo en nuestra serie de 33%, lo que expresa claramente la gravedad y el impacto de esta infección. ...
... Postoperative deep sternal wound infection (DSWI) is a serious complication in cardiac surgery affecting 1-5% of patients with high morbidity and mortality rates ranging from 5% to 46% (1)(2)(3)(4)(5). This is also one of the most common complications in open-heart surgery along with heart failure and stroke (6). ...
... Sutherland et al. published, in 1979, a prospective study of 693 consecutive patients showing that in elective coronary surgery no antimicrobial prophylaxis was necessary [21]. The wound infection rate was 0.8%. ...
... Review of the literature and our observations, however, show that patients with this critical lesion can have widely varying clinical presentations, from markedly unstable angina with poor left ventricular function to very stable minimal angina with no previous myocardial infarction. [5][6][7][8][9][10][11][12][13][14][15] Survival of these patients and probability of myocardial infarction appear to be dependent on the rate at which occlusion of the left main coronary artery occurred and adequacy of collateral circulation from the right coronary system. ...
... Indications for surgery include angina, myocardial ischemia, coronary steal phenomenon, hemodynamically significant left-toright shunt with pulmonary:systemic blood flow ratio of more than 2:1, enlarging coronary artery or evidence of cardiac failure [2,3,[5][6][7][8][9][10]. Coronary steal is described in cases in which ischemia of the myocardium distal to the fistula can be demonstrated through evidence of ischemic changes or infarction on electrocardiography, echocardiography, angiography, or on myocardial perfusion scintigraphy [7]. ...
... This was the first use of a new carbon material developed by Dr Jack Bokros at the General Atomic Company in LaJolla, California. The pyrolyte ball was intended to limit ball variance; unfortunately the relatively hard ball and soft titanium cage led to strut wear and some instances of strut fracture [10]. ...
... The details as the selection criteria of patients, rate of BITA use, ITA harvesting technique, use of prophylactic antibiotics, preoperative skin preparation, the choice either of off-pump or onpump technique, sternal closure, wound care, and perioperative management of hyperglycemia are summarized in Table 2 [27][28][29][30][31][32][33][34][35][36][37][38]. ...