Frank E. Sherman

Sacrococcygeal teratomas in children

Abstract Forty-four patients with sacrococcygeal teratomas are reported, and their surgical management discussed. Early complete excision with removal of the coccyx is recommended and was practiced in 33 cases. Such management eliminates recurrence, with its increased chance of neoplastic change. The mortality in this series from all causes was 27%.

Congenital stenosis of pulmonary veins at their atrial junctions

Abstract 1. 1. A case of congenital stenosis of the pulmonary veins is presented. 2. 2. The brief literature on congenital pulmonary venous stenosis is reviewed. Only one similar case was found. Two other reported cases of congenital stenosis were complicated by cardiac anomalies and presented different types of stenosing lesions. 3. 3. The anatomy of this lesion with special reference to the possibility of surgical correction is discussed. 4. 4. The secondary effects of pulmonary venous obstruction in this case are: pulmonary hypertension, hyperemia, edema, focal fibrosis, hemosiderosis, an unusual response to inflammation, and some shunting of pulmonary venous blood to the systemic return.

Anomalous course of left pulmonary artery: a cause of obstructive emphysema in infants.

Summary A case of infantile emphysema dueto bronchial compression and obstruction by an anomalous left pulmonary artery is described. The clinical features of this anomalyas illustrated by this case include: onset of respiratory difficulty in the neonatal period, prolonged expiratory phase with wheezing, and right-sided, multilobular emphysema with mediastinal shift to the left. This is the ninth case of this anomaly to be reported. Anatomic and clinical similarities in the nine known cases indicate a definite entity. Attention is called to the successfulsurgical correction of such a lesion by Potts and associates.1

BRONCHIAL ADENOMA OCCURRING IN CHILDHOOD :A REPORT OF THREE CASES

Summary Three cases of bronchial adenoma occurring in children are reported. Two were treated by resection. In the other, surgery having been refused, the patient is still alive with symptoms three years after the diagnosis was made.

Effects of ligation of the pulmonary vasculature in the rabbit fetus

Abstract Ligation of the pulmonary vessels in the rabbit fetus is compatible with a good yield of surviving animals (more than 60%). Ligation of the pulmonary artery, or pulmonary artery and vein, results in infarction, with some preservation of islands of pulmonary tissue in the periphery. Ligation of all the pulmonary veins to the left lung results in death within a few hours.