George J. Reul

Reconstruction of the Superior Vena Cava with the Aid of an Extraluminal Venovenous Jugulo-Atrial Shunt

Singh, Sandeep, Sherif, Hisham, Reul, George J.

A 57-year-old woman had chronic benign superior vena cava syndrome related to the long-term use of multiple central venous catheters for chemotherapy. Treatment included resection of the obstructed...

Suprarenal or Supraceliac Aortic Clamping during Repair of Infrarenal Abdominal Aortic Aneurysms

El-Sabrout, Rafik A., Reul, George J.

Suprarenal or supraceliac aortic clamping during repair of infrarenal abdominal aortic aneurysms can be complicated by renal, hepatic, and intestinal ischemia. To determine whether suprarenal or...

Hypercoagulable State Leading to Paraplegia in a Middle-Aged Man

Bhagia, Suresh T., Livesay, James J., Reul, George J., Cooley, Denton A.

A 37-year-old man presented with an unusual thrombotic disorder characterized by acute paraplegia and the absence of palpable pulses due to extensive arterial thrombosis of the aorta and its distal...

Interrupted Aortic Arch in an Adult: Single-Stage Extra-Anatomic Repair

Messner, Greg, Reul, George J., Flamm, Scott D., Gregoric, Igor D., Opfermann, Ulrich Tim

Interrupted aortic arch is a rare congenital malformation of the aortic arch that occurs in 3 per million live births. Defined as a loss of luminal continuity between the ascending and descending...

Surgical Treatment of Coronary Artery Anomalies: Report of a 37½-Year Experience at the Texas Heart Institute

Reul, Ross M., Cooley, Denton A., Hallman, Grady L., Reul, George J.

The surgical treatment of coronary artery anomalies continues to evolve. The most common coronary artery anomalies requiring surgical intervention include coronary artery fistulae, anomalous...

Rare Chronic Gastric Volvulus Associated with Left Atrial and Mediastinal Compression

Shriki, Jabi E., Nguyen, Khanh, Rozo, Juan Carlos, Reul, George J., Mortazavi, Ali

We report a case of chronic gastric volvulus associated with left atrial compression in a 75-year-old woman who presented with chest pain, shortness of breath, and hypotension after elective...

HEMIAZYGOS CONTINUATION TO CORONARY SINUS WITH NORMAL LEFT INNOMINATE VEIN

Benrey, Jaime, Williams, Robert L., Reul, George J.

A case is described of absent hepatic segment of the inferior vena cava with hemiazygos continuation and drainage into the coronary sinus with associated atrial septal defect and patent ductus...

CORRECTION OF ANOMALOUS VENOUS RETURN FROM THE RIGHT LUNG TO THE INFERIOR VENA CAVA (SCIMITAR DEFORMITY)

Oglietti, Jorge, Frazier, O. Howard, Reul, George J., Cooley, Denton A.

Anomalous pulmonary venous drainage to the inferior vena cava is a rare congenital cardiac defect. Oxygenated blood from the right lung enters the right atrium resulting in a left-to-right shunt....

USE OF A NEW POLYBUTILATE-COATED POLYESTER SUTURE IN CARDIOVASCULAR SURGERY

Reul, George J.

Polybutilate coated polyester (Dacron) sutures were evaluated in a variety of cardiovascular procedures performed on 117 patients. The age range was from 6 months to 88 years, and long-term follow-up...

ATHEROSCLEROSIS OF AORTOCORONARY ARTERY SAPHENOUS VEIN BYPASS GRAFTS

Klima, Tomas, Beard, Earl F., Milam, John D., Reul, George J., Cooley, Denton A.

Among a series of 109 patients who underwent aortocoronary artery bypass reoperation and received a total of 168 grafts, atherosclerosis was found in 29 saphenous vein grafts. Specimens were obtained...

RETROESOPHAGEAL SUBCLAVIAN ARTERIES: SURGICAL MANAGEMENT OF SYMPTOMATIC CHILDREN

Smith, J. Marvin, Reul, George J., Wukasch, Don C., Cooley, Denton A.

Aberrant subclavian arteries, which form a type of vascular ring, elicit symptoms of dysphagia and chronic respiratory problems. Simple division of the encircling vessel has been the accepted...

Ionescu-Shiley pericardial xenograft valve: Hemodynamic evaluation and early clinical follow-up of 326 patients

Ott, David A., Coelho, Aldemire T., Cooley, Denton A., Reul, George J.

Dissatisfaction with the hemodynamic characteristics of available porcine valves prompted a clinical trial of the Ionescu-Shiley percardial xenograft (ISPX) valve. Three hundred fifty-six ISPX valves...

Early Experience with a New PTFE Graft below the Inguinal Ligament

Duncan, J. Michael, Reul, George J., Aronski, Wotjek, Hallman, Grady L., Cooley, Denton A.

Between July 1984 and July 1985, 65 expanded polytetrafluoroethylene grafts (Vitagraft®) were implanted in the infrainguinal position in 51 patients, including 41 men and 10 women, with an average...

Surgical Management of Extracranial Carotid Artery Aneurysms: Report of 17 Cases

Knight, Gordon C., Hallman, Grady L., Reul, George J., Ott, David A., Cooley, Denton A.

This article reviews the operative techniques, results, and complications associated with the treatment of 17 extracranial carotid artery aneurysms encountered in an overall experience of 6,096...

Lower Extremity Pain after Sexual Intercourse: A Case Report of Embolization due to Femorofemoral Bypass Graft Occlusion

Avedissian, Michael G., Leachman, D. Richard, Reul, George J.

We describe a case of recurrent thromboembolism to the femoral-popliteal circulation in a patient with prior femorofemoral bypass graft placement. Two separate embolic events occurred, each within a...

Pulmonary Artery Banding and Subaortic Stenosis in Patients with Single Ventricle: Surgical Alternatives and Clinical Outcome

Hess, Susan L., Bricker, J. Timothy, Garson, Arthur, Ott, David A., Reul, George J., Cooley, Denton A.

Subaortic obstruction is a potential problem in patients with single ventricle and a subaortic outflow chamber. Previous reports have indicated an association between pulmonary artery banding and the...

Capillary Microscopy in Patients with Vasospastic and Arterial Occlusive Diseases

Gregoric, Igor D., Reul, George J.

Capillary microscopy and its application for diagnosis and therapeutic evaluation in patients with vasospastic and arterial occlusive disease are described in this report. Capillary microscopy is a...

The St. Jude Medical Valve: Early Clinical Results in 253 Patients

Duncan, J. Michael, Cooley, Denton A., Livesay, James J., Ott, David A., Reul, George J., Walker, William E., ...

The St. Jude Medical cardiac valve is a low-profile, bileaflet, central-flow prosthesis made entirely of pyrolytic carbon. A total of 261 St. Jude valves were implanted in 253 patients during a...

Coronary Artery Revascularization Without Cardiopulmonary Bypass

Archer, Robert, Ott, David A., Parravicini, Robert, Cooley, Denton A., Reul, George J., Frazier, O. Howard, ...

At the Texas Heart Institute between October 1969 and August 1983, there were 191 single bypass procedures performed without pump oxygenator support. These cases have been divided into two groups:...

Improved Cardiac Function Following Left Ventricular Aneurysm Resection: Pre- and Postoperative Performance Studies in 150 Patients

Ott, David A., Parravacini, Roberto, Cooley, Denton A., Depuey, E. Gordon, Reul, George J., Duncan, J. Michael, ...

One hundred fifty patients underwent radionuclide left ventricular performance studies before and one week after resection of a left ventricular aneurysm. The patients were classified according to...

Iatrogenic Left Subclavian Artery-to-Left Brachiocephalic Vein Fistula: Successful Repair without a Sternotomy

Chloroyiannis, Yiannis, Reul, George J.

Subclavian vein catheterization can result in arteriovenous fistula formation—a rare complication that will eventually lead to heart failure if left untreated. The world medical literature...

Reconstruction of the Superior Vena Cava with the Aid of an Extraluminal Venovenous Jugulo-Atrial Shunt

Singh, Sandeep, Sherif, Hisham, Reul, George J.

A 57-year-old woman had chronic benign superior vena cava syndrome related to the long-term use of multiple central venous catheters for chemotherapy. Treatment included resection of the obstructed...

Suprarenal or Supraceliac Aortic Clamping during Repair of Infrarenal Abdominal Aortic Aneurysms

El-Sabrout, Rafik A., Reul, George J.

Suprarenal or supraceliac aortic clamping during repair of infrarenal abdominal aortic aneurysms can be complicated by renal, hepatic, and intestinal ischemia. To determine whether suprarenal or...

Hypercoagulable State Leading to Paraplegia in a Middle-Aged Man

Bhagia, Suresh T., Livesay, James J., Reul, George J., Cooley, Denton A.

A 37-year-old man presented with an unusual thrombotic disorder characterized by acute paraplegia and the absence of palpable pulses due to extensive arterial thrombosis of the aorta and its distal...

Interrupted Aortic Arch in an Adult: Single-Stage Extra-Anatomic Repair

Messner, Greg, Reul, George J., Flamm, Scott D., Gregoric, Igor D., Opfermann, Ulrich Tim

Interrupted aortic arch is a rare congenital malformation of the aortic arch that occurs in 3 per million live births. Defined as a loss of luminal continuity between the ascending and descending...

Surgical Treatment of Coronary Artery Anomalies: Report of a 37½-Year Experience at the Texas Heart Institute

Reul, Ross M., Cooley, Denton A., Hallman, Grady L., Reul, George J.

The surgical treatment of coronary artery anomalies continues to evolve. The most common coronary artery anomalies requiring surgical intervention include coronary artery fistulae, anomalous...

Rare Chronic Gastric Volvulus Associated with Left Atrial and Mediastinal Compression

Shriki, Jabi E., Nguyen, Khanh, Rozo, Juan Carlos, Reul, George J., Mortazavi, Ali

We report a case of chronic gastric volvulus associated with left atrial compression in a 75-year-old woman who presented with chest pain, shortness of breath, and hypotension after elective...

HEMIAZYGOS CONTINUATION TO CORONARY SINUS WITH NORMAL LEFT INNOMINATE VEIN

Benrey, Jaime, Williams, Robert L., Reul, George J.

A case is described of absent hepatic segment of the inferior vena cava with hemiazygos continuation and drainage into the coronary sinus with associated atrial septal defect and patent ductus...

CORRECTION OF ANOMALOUS VENOUS RETURN FROM THE RIGHT LUNG TO THE INFERIOR VENA CAVA (SCIMITAR DEFORMITY)

Oglietti, Jorge, Frazier, O. Howard, Reul, George J., Cooley, Denton A.

Anomalous pulmonary venous drainage to the inferior vena cava is a rare congenital cardiac defect. Oxygenated blood from the right lung enters the right atrium resulting in a left-to-right shunt....

USE OF A NEW POLYBUTILATE-COATED POLYESTER SUTURE IN CARDIOVASCULAR SURGERY

Reul, George J.

Polybutilate coated polyester (Dacron) sutures were evaluated in a variety of cardiovascular procedures performed on 117 patients. The age range was from 6 months to 88 years, and long-term follow-up...

ATHEROSCLEROSIS OF AORTOCORONARY ARTERY SAPHENOUS VEIN BYPASS GRAFTS

Klima, Tomas, Beard, Earl F., Milam, John D., Reul, George J., Cooley, Denton A.

Among a series of 109 patients who underwent aortocoronary artery bypass reoperation and received a total of 168 grafts, atherosclerosis was found in 29 saphenous vein grafts. Specimens were obtained...

RETROESOPHAGEAL SUBCLAVIAN ARTERIES: SURGICAL MANAGEMENT OF SYMPTOMATIC CHILDREN

Smith, J. Marvin, Reul, George J., Wukasch, Don C., Cooley, Denton A.

Aberrant subclavian arteries, which form a type of vascular ring, elicit symptoms of dysphagia and chronic respiratory problems. Simple division of the encircling vessel has been the accepted...

Ionescu-Shiley pericardial xenograft valve: Hemodynamic evaluation and early clinical follow-up of 326 patients

Ott, David A., Coelho, Aldemire T., Cooley, Denton A., Reul, George J.

Dissatisfaction with the hemodynamic characteristics of available porcine valves prompted a clinical trial of the Ionescu-Shiley percardial xenograft (ISPX) valve. Three hundred fifty-six ISPX valves...

Early Experience with a New PTFE Graft below the Inguinal Ligament

Duncan, J. Michael, Reul, George J., Aronski, Wotjek, Hallman, Grady L., Cooley, Denton A.

Between July 1984 and July 1985, 65 expanded polytetrafluoroethylene grafts (Vitagraft®) were implanted in the infrainguinal position in 51 patients, including 41 men and 10 women, with an average...

Surgical Management of Extracranial Carotid Artery Aneurysms: Report of 17 Cases

Knight, Gordon C., Hallman, Grady L., Reul, George J., Ott, David A., Cooley, Denton A.

This article reviews the operative techniques, results, and complications associated with the treatment of 17 extracranial carotid artery aneurysms encountered in an overall experience of 6,096...

Lower Extremity Pain after Sexual Intercourse: A Case Report of Embolization due to Femorofemoral Bypass Graft Occlusion

Avedissian, Michael G., Leachman, D. Richard, Reul, George J.

We describe a case of recurrent thromboembolism to the femoral-popliteal circulation in a patient with prior femorofemoral bypass graft placement. Two separate embolic events occurred, each within a...

Pulmonary Artery Banding and Subaortic Stenosis in Patients with Single Ventricle: Surgical Alternatives and Clinical Outcome

Hess, Susan L., Bricker, J. Timothy, Garson, Arthur, Ott, David A., Reul, George J., Cooley, Denton A.

Subaortic obstruction is a potential problem in patients with single ventricle and a subaortic outflow chamber. Previous reports have indicated an association between pulmonary artery banding and the...

Capillary Microscopy in Patients with Vasospastic and Arterial Occlusive Diseases

Gregoric, Igor D., Reul, George J.

Capillary microscopy and its application for diagnosis and therapeutic evaluation in patients with vasospastic and arterial occlusive disease are described in this report. Capillary microscopy is a...

The St. Jude Medical Valve: Early Clinical Results in 253 Patients

Duncan, J. Michael, Cooley, Denton A., Livesay, James J., Ott, David A., Reul, George J., Walker, William E., ...

The St. Jude Medical cardiac valve is a low-profile, bileaflet, central-flow prosthesis made entirely of pyrolytic carbon. A total of 261 St. Jude valves were implanted in 253 patients during a...

Coronary Artery Revascularization Without Cardiopulmonary Bypass

Archer, Robert, Ott, David A., Parravicini, Robert, Cooley, Denton A., Reul, George J., Frazier, O. Howard, ...

At the Texas Heart Institute between October 1969 and August 1983, there were 191 single bypass procedures performed without pump oxygenator support. These cases have been divided into two groups:...

Improved Cardiac Function Following Left Ventricular Aneurysm Resection: Pre- and Postoperative Performance Studies in 150 Patients

Ott, David A., Parravacini, Roberto, Cooley, Denton A., Depuey, E. Gordon, Reul, George J., Duncan, J. Michael, ...

One hundred fifty patients underwent radionuclide left ventricular performance studies before and one week after resection of a left ventricular aneurysm. The patients were classified according to...

Iatrogenic Left Subclavian Artery-to-Left Brachiocephalic Vein Fistula: Successful Repair without a Sternotomy

Chloroyiannis, Yiannis, Reul, George J.

Subclavian vein catheterization can result in arteriovenous fistula formation—a rare complication that will eventually lead to heart failure if left untreated. The world medical literature...

C-Ring Mitral Annuloplasty: 27-Year Follow-Up

Karas, Tomer Z., Reul, George J., Cooley, Denton A.

We report the long-term follow-up of a patient with rheumatic mitral valve disease who underwent annuloplasty with a specially developed C-ring (the Cooley C-ring) for mitral valve repair in 1977....

Outcomes and Risk Factors in 1,609 Carotid Endarterectomies

Duncan, J. Michael, Reul, George J., Ott, David A., Kincade, Robert C., Davis, John W.

Severe carotid stenosis is typically treated with carotid endarterectomy (CEA), but there is debate about the safety of this procedure in patients with occlusion of the contralateral artery, previous...

Heart Failure Due to a Post-Traumatic Calcified Pericardial Hematoma

Manhas, Amit H., Martin, Robert T., Reul, George J., Stainback, Raymond F.

Chest-wall trauma can produce bleeding into the pericardium and initiate a process of inflammation, calcification, and scarring that may eventually produce pericardial constriction. Herein, we...