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Januszek R, Balan R. Predictors of New and Persistent New Left Bundle Branch Block One Year after the Implantation of a Sutureless and Rapid-Deployment Aortic Valve Prosthesis. Diseases 2023; 11:100. [PMID: 37606471 PMCID: PMC10443328 DOI: 10.3390/diseases11030100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2023] [Revised: 07/20/2023] [Accepted: 07/27/2023] [Indexed: 08/23/2023] Open
Abstract
INTRODUCTION Conduction disorders following aortic valve replacement therapy (AVR), either surgical or percutaneous, are related to a higher risk of complete atrioventricular block and permanent pacemaker implantation (PPI). AIM The objective of this study was to assess risk factors regarding the incidence of new postoperative and persistent new left bundle branch block (LBBB) 1 year after the implantation of a sutureless/rapid-deployment (SURD) aortic valve prosthesis. MATERIAL AND METHODS The current study included 200 consecutive patients treated with isolated or concomitant AVR between May 2014 and May 2017 at the Department of Cardiac Surgery in Pasawa with SURD aortic valve EDWARDS INTUITY EliteTM implantation. The patients were divided according to the presence of new postoperative LBBB (67 patients, 33.5%) and persistent new LBBB 1 year after AVR (35 patients, 17.5%). A comparative analysis was performed between patients with and without new LBBB after AVR and those with and without persistent LBBB 1 year after AVR. Univariate and multivariate regression analyses were conducted to extract the risk factors of LBBB occurrence. RESULTS Among the risk factors for the lack of new LBBB development after AVR, Euroscore II (p < 0.001) was found, while for the occurrence of persistent new LBBB 1 year after AVR, atrial fibrillation (p = 0.001), length of hospital stay (p = 0.001) and body mass index (p = 0.004) were noted. CONCLUSIONS Patients with new or persistent new LBBB 1 year after AVR had lower mean Euroscore II and BMI values. Their stay at the hospital was also shorter.
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Affiliation(s)
- Rafał Januszek
- Department of Cardiology and Cardiovascular Interventions, University Hospital, 30-688 Kraków, Poland
| | - Robert Balan
- Department of Cardiac Surgery, Klinikum Passau, 94-032 Passau, Germany;
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Balan R, Soso P, Massoudy P, Proschek T, Kurre W, Mogilansky C. A Strategy for Minimizing Circulatory Arrest Duration in Complex Aortic Arch Procedures. Medicina (Kaunas) 2023; 59:1007. [PMID: 37374211 DOI: 10.3390/medicina59061007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 05/10/2023] [Accepted: 05/22/2023] [Indexed: 06/29/2023]
Abstract
Background and Objectives: Aortic arch pathologies represent a surgical challenge. The challenge is partly due to the necessity of complex cerebral, visceral, and myocardial protection measures. Aortic arch surgery generally requires a significant duration of circulatory arrest, which includes deep hypothermia levels with the associated sequelae. This retrospective observational study shows the feasibility of a strategy that reduces circulatory arrest duration and eliminates the need for deep hypothermia during the procedure. Materials and Methods: Between January 2022 and January 2023, 15 patients (n = 15) with type A aortic dissection underwent total arch replacement with a frozen elephant trunk. Cardiopulmonary bypass and organ perfusion were established via arterial lines in the right axillary artery and one of the femoral arteries. In the latter vessels, a y-branched arterial cannula was used (ThruPortTM), allowing for endo-clamping of the stent part of the frozen elephant trunk with a balloon and subsequent perfusion of the lower body. Results: Applying this modified perfusion technique, circulatory arrest time could be reduced to a mean of 8.1 ± 4.2 min, and surgery was performed at a mean lowest body temperature of 28.9 ± 2.3 °C. The mean ICU and hospital stays were 18.3 ± 13.7 days and 23.8 ± 11.7 days, respectively. The rate for 30-day survival was 100%. Conclusions: By applying our modified perfusion technique, the circulatory arrest duration was below ten minutes. As a consequence, deep hypothermia could be avoided, and surgery could be performed at moderate hypothermia. Future studies will have to show whether these changes may be translated into a clinical benefit for our patients.
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Affiliation(s)
- Robert Balan
- Department of Cardiac Surgery, Klinikum Passau, 94032 Passau, Germany
| | - Petar Soso
- Department of Cardiac Surgery, Klinikum Passau, 94032 Passau, Germany
| | - Parwis Massoudy
- Department of Cardiac Surgery, Klinikum Passau, 94032 Passau, Germany
| | - Till Proschek
- Department of Vacular Surgery, Klinikum Passau, 94032 Passau, Germany
| | - Wiebke Kurre
- Department of Radiology, Klinikum Passau, 94032 Passau, Germany
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Mogilansky C, Massoudy P, Czesla M, Balan R. Conduction Disorders after Surgical Aortic Valve Replacement Using a Rapid Deployment Aortic Valve Prosthesis: Medium-Term Follow-Up. J Clin Med 2023; 12:jcm12052083. [PMID: 36902870 PMCID: PMC10004204 DOI: 10.3390/jcm12052083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Revised: 02/25/2023] [Accepted: 02/28/2023] [Indexed: 03/09/2023] Open
Abstract
BACKGROUND We have previously reported that the incidence of postoperative conduction disorders, especially left bundle branch block (LBBB), after implantation of a rapid deployment Intuity™ Elite aortic valve prosthesis (Edwards Lifesciences, Irvine, CA, USA), was significantly increased compared with conventional aortic valve replacement. We were now interested in how these disorders behaved at intermediate follow-up. METHODS All 87 patients who had undergone surgical aortic valve replacement (SAVR) using the rapid deployment Intuity™ Elite prosthesis and were shown to have conduction disorders at the time of hospital discharge were followed up after surgery. These patients' ECGs were recorded at least 1 year after surgery, and the persistence of the new postoperative conduction disorders was assessed. RESULTS At hospital discharge, 48.1% of the patients had developed new postoperative conduction disorders, with LBBB being the predominant conduction disturbance (36.5%). At medium-term follow-up (526 days, standard deviation (SD) = 169.6, standard error (SE) = 19.3 days, respectively), 44% of the new LBBB and 50% of the new right bundle branch block (RBBB) had disappeared. There was no new atrio-ventricular block III (AVB III) that occurred. One new pacemaker (PM) was implanted during follow-up because of AVB II Mobitz type II. CONCLUSIONS At medium-term follow-up after the implantation of a rapid deployment Intuity™ Elite aortic valve prosthesis, the number of new postoperative conduction disorders, especially LBBB, has considerably decreased but remains high. The incidence of postoperative AV block III remained stable.
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Balan R, Mogilansky C, Czesla M, Massoudy P. Coronary Anastomosis In Stent-Useful to Do When No Other Alternative Is Given? Thorac Cardiovasc Surg Rep 2023; 12:e4-e6. [PMID: 36726359 PMCID: PMC9886442 DOI: 10.1055/s-0043-1760750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2022] [Accepted: 11/08/2022] [Indexed: 02/02/2023] Open
Abstract
Background Many patients being referred for coronary artery bypass grafting have a history of percutaneous coronary intervention (PCI). Case Description In a patient after multiple PCI of the left anterior descending artery (LAD), repeated in-stent stenosis was diagnosed. The LAD being covered with stents to the periphery, no meaningful anastomosis with stent-free vessel was possible. After thorough discussion with the patient, the referring cardiologist, and our local heart team, an in-stent anastomosis was planned and created, that was found to be angiographically patent 21 months after surgery with the patient free from angina. Conclusion Without any alternative treatment method given, our approach of in-stent anastomosis confers a good mid-term angiographic result.
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Affiliation(s)
- Robert Balan
- Department of Cardiac Surgery, Klinikum Passau, Passau, Germany
| | | | - Markus Czesla
- Department of Cardiac Surgery, Klinikum Passau, Passau, Germany
| | - Parwis Massoudy
- Department of Cardiac Surgery, Klinikum Passau, Passau, Germany,Address for correspondence Parwis Massoudy, Professor Department of Cardiac SurgeryKlinikum Passau, Innstrasse 76, Passau 94032Germany
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Czesla M, Balan R, Massoudy P. Single-Center Experience of Transapical Mitral Valve Repair: Preliminary Results. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
| | - R. Balan
- Cardiac Surgery, Klinikum Passau, Passau, Deutschland
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Czesla M, Balan R, Mogilansky C, Massoudy P. Tricuspid valve repair in acute endocarditis in a young patient with active IV drug abuse. Multimed Man Cardiothorac Surg 2019; 2019. [PMID: 31593379 DOI: 10.1510/mmcts.2019.022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Right-sided infective endocarditis is common in patients who use intravenous drugs. However, even when leaflets are heavily damaged as a result of the endocarditis, an attempt of valve repair is worth a try. Tricuspid valve repair is superior to valve replacement because it is associated with a lower rate of recurrence and reoperation.
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Mogilansky C, Balan R, Deutsch C, Czesla M, Massoudy P. New postoperative conduction abnormalities after the implantation of a rapid-deployment aortic valve prosthesis. Interact Cardiovasc Thorac Surg 2018; 28:581-586. [DOI: 10.1093/icvts/ivy307] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2018] [Revised: 09/13/2018] [Accepted: 10/03/2018] [Indexed: 11/13/2022] Open
Affiliation(s)
| | - Robert Balan
- Department of Cardiac Surgery, Klinikum Passau, Passau, Germany
| | - Cornelia Deutsch
- Institute for Pharmacology and Preventive Medicine, Cloppenburg, Germany
| | - Markus Czesla
- Department of Cardiac Surgery, Klinikum Passau, Passau, Germany
| | - Parwis Massoudy
- Department of Cardiac Surgery, Klinikum Passau, Passau, Germany
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Balan R, Mogilansky C, Czesla M, Massoudy P. Chronic encapsulated mediastinal abscess 3 years after coronary artery bypass grafting. J Card Surg 2018; 33:393-394. [PMID: 29920997 DOI: 10.1111/jocs.13734] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Robert Balan
- Department of Cardiac Surgery, Klinikum Passau, Passau, Germany
| | | | - Markus Czesla
- Department of Cardiac Surgery, Klinikum Passau, Passau, Germany
| | - Parwis Massoudy
- Department of Cardiac Surgery, Klinikum Passau, Passau, Germany
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Balan R, Mogilansky C, Larsen AL, Massoudy P. Severe aortic regurgitation after implantation of a sutureless valve prosthesis using an automatic knot fastener device. Interact Cardiovasc Thorac Surg 2017; 25:153-154. [PMID: 28379473 DOI: 10.1093/icvts/ivx069] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2016] [Accepted: 02/07/2017] [Indexed: 11/12/2022] Open
Abstract
We report the case of severe aortic regurgitation 8 months after implantation of a 25-mm sutureless pericardial aortic valve prosthesis. On echocardiography, the regurgitation was suspected to be paravalvular. The sutureless prosthesis had been implanted using an automatic knot fastener device, which renders the suture tails less pliable because of the metal clip that is crimped around the suture. The patient was reoperated, a paravalvular leak was not observed. The sutureless prosthesis was explanted and a conventional biologic valve prosthesis was implanted instead. On examination of the explanted valve prosthesis, a perforation was observed in one of the leaflets. The leaflet perforation was in alignment with one of the knots produced by the automatic knot fastener. Obviously, the leaflet had hit the knot repeatedly which had caused the perforation. We conclude that knots produced by an automatic fastener device have the potential to cause leaflet perforation.
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Affiliation(s)
- Robert Balan
- Department of Cardiac Surgery, Klinikum Passau, Passau, Germany
| | | | | | - Parwis Massoudy
- Department of Cardiac Surgery, Klinikum Passau, Passau, Germany
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Czesla M, Mogilansky C, Balan R, Kattner S, van Ingen G, Massoudy P. Evolution of a minimally invasive mitral valve program. J Vis Surg 2017; 2:169. [PMID: 29078554 DOI: 10.21037/jovs.2016.11.04] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2016] [Accepted: 11/03/2016] [Indexed: 11/06/2022]
Abstract
Minimally invasive valve surgery is evolving into a procedure of choice in the treatment of mitral regurgitation (MR). Visualization techniques have improved vastly over the past decades. With the use of 3D technology rib retractors can be avoided, incision size has come down to a minimum without reducing and even improving the surgeons view.
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Affiliation(s)
- Markus Czesla
- Department of Cardiac Surgery, Klinikum Passau, 94032 Passau, Germany
| | | | - Robert Balan
- Department of Cardiac Surgery, Klinikum Passau, 94032 Passau, Germany
| | - Sven Kattner
- Department of Cardiac Surgery, Klinikum Passau, 94032 Passau, Germany
| | - Gerrit van Ingen
- Department of Cardiac Surgery, Klinikum Passau, 94032 Passau, Germany
| | - Parwis Massoudy
- Department of Cardiac Surgery, Klinikum Passau, 94032 Passau, Germany
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Abstract
Starting from the information on ovarian cancer provided by the mainstream publications, we construct a review focusing on the following issues: (i) the genetic profile, (ii) the role of the epithelial-mesenchymal transition in the acquirement of malignant features, (iii) the controversial hypothesis regarding the origin, and (iv) the involvement of the immune system in the tumoral microenvironment. Advances in the decipherment at the genetic level in the pathogenic mechanisms progressively lead to the idea of a genetic signature for the ovarian cancer. Moreover, the complementary approaches oriented towards the decryption of the intrinsic structure of the expressed molecules and, implicitly, the development of proteomics open new perspectives for an early diagnosis and an appropriate treatment. The research on the epithelial-mesenchymal transition (mainly those exploring the signaling pathways responsible for the switch between the loss of the epithelial characteristics and the gain of a mesenchymal cell phenotype, with results in the amplification of differentiation, motility and tumoral invasion) allow a deeper understanding of the complex pathogenic mechanism which governs ovarian carcinogenesis. The classic conception of ovarian cancer pathogeny, based on the role of the ovarian surface epithelium, is currently reconsidered, and a novel hypothesis is formulated, which supports direct involvement of the Fallopian tubes for the serous type. Although recent research suggests the implication of immune/inflammatory cells by specific mechanisms in ovarian cancer pathogenesis, there is yet reliable evidence concerning their modality of direct action and/or modulation of tumoral growth. Thus, ovarian carcinogenesis remains a research challenge, due to still numerous unknown factors involved in the malignant transformation sequences, originating from the genetic-molecular alterations and reflected by cellular and tissue expression patterns.
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Affiliation(s)
- L Liliac
- Department of Histology, "Gr. T. Popa" University of Medicine and Pharmacy, Iasi, Romania
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Crauciuc E, Niculescu S, Balan R, Amălinei N, Flaişer C, Buţureanu S. [Giant uterine fibroma. Case report]. Rev Med Chir Soc Med Nat Iasi 2008; 112:148-151. [PMID: 18677920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
The presence of the giant abdominal-pelvic tumours is more and more rare because of the precocious methods of diagnosis. Sometimes the rare cases of giant uterine fibroma are met in medical practice and they need the use of atypical surgical techniques that are not entirely risk-free. In the present case, the giant uterine fibroma that was diagnosed (23/21/20 cm) was investigated clinically, and with imaging and pathologic techniques, then it underwent a surgical procedure in two stages, with major difficulties, because the entire anatomical structure of the pelvis was totally modified.
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Affiliation(s)
- E Crauciuc
- Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi, Facultatea de Medicină, Clinica a IIIa Obstetrică-Ginecologie
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Balan R, Amalinei C, Pricop F, Dumitrache F, Cotutiu C. Metastatic models in different histologic types of breast lobular carcinoma. EJC Suppl 2006. [DOI: 10.1016/s1359-6349(06)80285-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Amalinei C, Balan R, Pricop F, Cotutiu C. Lobular carcinoma in situ — correlation of grading with invasive carcinoma and with ductal carcinoma in situ. EJC Suppl 2004. [DOI: 10.1016/s1359-6349(04)91070-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Abstract
The wearing of gloves during orthodontic or dental treatment is generally indicated for reasons of hygiene and protection against infection. This study was aimed at determining the extent and localization of perforations caused by the various orthodontic treatment techniques and interrupting the infection barrier. The impermeability was tested by means of a water retention test according to European standard EN 455, Part 1, performed on 1600 Centramed (Centramed, Koblenz), Tekmedic and SafeEx non-sterile disposable latex gloves (both by Safe Med, Switzerland) and Safe Gan latex gloves with an additional acrylate coating (also by Safe Med). The perforation rate in unused gloves was between 0.5% and 7.5%, rising on average to 11% with increasing use. 36% of the total number of lesions resulted from handling removable appliances, and 57% from handling fixed appliances, especially when replacing arch wires and elastics. Most lesions were in the thumb, index finger and palm region. Only 18% of the defects were noticed by the dentists themselves. The gloves worn by beginners in their first year of postgraduate orthodontic training had about twice as many defects as those worn by qualified orthodontists. When patients with an increased risk of infection are to be treated, additional hand disinfection measures should be taken and 2 pairs of gloves worn in view of the relatively unreliable protection offered by commercially available latex gloves.
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Affiliation(s)
- G M Doll
- Department of Orthodontics, University of Mainz, Germany.
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Amălinei C, Căruntu ID, Balan R, Cotuţiu C, Bădescu M. [Carcinosarcoma of the corpus uteri--a case report]. Rev Med Chir Soc Med Nat Iasi 1997; 101:213-7. [PMID: 10756758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
Sarcomas account for fewer than 5% of all cancers of the uterine corpus. We present the last classification of The International Society of Gynecology Pathologists for pure sarcomas and also for mixed epithelial-nonepithelial tumors of the uterine corpus. The paper concerns with the study of a case of carcinosarcoma, treated in the III-rd Clinic of Gynecology from Iaşi. This morphological diagnostic represents the most common epithelial-nonepithelial tumor affecting the uterus. Immunohistochemistry with EMA confirms the theory of the combined tumor with a unique origin.
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Affiliation(s)
- C Amălinei
- Disciplina de Histologie, Facultatea de Medicină, Universitatea de Medicină şi Farmacie Gr. T. Popa, Iaşi
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Chia D, Terasaki P, Acalinovich A, Chan H, Balan R. HLA DR typing by polymerase chain reaction in Terasaki trays. Transplant Proc 1995; 27:696-7. [PMID: 7879149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Affiliation(s)
- D Chia
- Department of Surgery, School of Medicine, UCLA 90024-1652
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Grubneac V, Duda R, Balan R. The relationship between tabacism and pulmonary determination in the influenza. Rev Med Chir Soc Med Nat Iasi 1983; 87:557-9. [PMID: 6676875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Rugină V, Duda R, Tibrea-Vartolomei C, Balan R, Dabija D, Apavăloaie J, Tacu I. [Psycho-sociological problems in the adaptation process of institutionalized aged subjects]. Rev Med Chir Soc Med Nat Iasi 1982; 86:653-5. [PMID: 7170522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Grubneac V, Duda R, Balan R. Statistical and mathematical study on the characteristics of pulmonary x-ray images in influenza. Rev Med Chir Soc Med Nat Iasi 1978; 82:475-7. [PMID: 16296510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
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Zamfir G, Duda R, Tibrea C, Melinte C, Balan R. [Medicosocial aspects of the influence of socialist transformation in rural areas]. Z Gesamte Hyg 1978; 24:55-9. [PMID: 636492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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22
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Chipail GG, Răileanu R, Balan R, Vasile V. [Benign duodenal tumors]. Rev Med Chir Soc Med Nat Iasi 1976; 80:369-72. [PMID: 1024230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Arnautu I, Hurduc N, Răileanu R, Balan R, Caramarcu B, Vasile V. [Peutz-Jeghers syndrome]. Rev Med Chir Soc Med Nat Iasi 1973; 77:591-4. [PMID: 4742726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Cernea P, Balan R, Herman A. [Anatomo-clinical aspects of progressive essential atrophy of the iris]. Rev Med Chir Soc Med Nat Iasi 1971; 75:233-6. [PMID: 5552565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Vancea P, Iancu I, Balan R. [Can palpebral cancer produce locoregional metastases?]. Bull Mem Soc Fr Ophtalmol 1970; 83:367-376. [PMID: 5512184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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Cernea P, Balan R, Neacsu A. [Anatomo-clinical considerations in anophthalmos]. Ann Ocul (Paris) 1969; 202:1275-86. [PMID: 5404750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Diaconescu M, Kreisler S, Balan R, Teodorescu C, Chipail G. [Gelatinous disease of the peritoneum]. Rev Med Chir Soc Med Nat Iasi 1967; 73:743-6. [PMID: 5619551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Vancea P, Vancea PP, Balan R. [Cryogenic treatment of trachoma]. Rev Int Trach 1967; 44:236-244. [PMID: 5601769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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