WorldCat Identities

Hallman, Grady L. 1930-2017

Overview
Works: 13 works in 36 publications in 1 language and 441 library holdings
Roles: Author, Instrumentalist
Classifications: RD598, 617.412
Publication Timeline
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Most widely held works by Grady L Hallman
Surgical treatment of congenital heart disease by Grady L Hallman( Book )

23 editions published between 1966 and 1987 in English and held by 426 WorldCat member libraries worldwide

Missbildung / Herz
Correction of anomalous coronary artery arising from pulmonary artery( Visual )

1 edition published in 1966 in English and held by 2 WorldCat member libraries worldwide

The purpose of this program is to demonstrate the surgical correction of an anomalous coronary artery arising from the pulmonary artery. This objective is accomplished through the use of two case studies which demonstrate the anomaly and its surgical correction. The first case study is a four-year-old boy with electrocardiographic evidence of ischemia and a continuous heart murmur. He has an abnormal right coronary artery whose branches anastomose over the anteriolaterial aspect of the left ventricle and extend to the left coronary artery. The left coronary artery enters the posteriolateral aspect of the main pulmonary artery. During surgery the left coronary artery is dissected out proximally. A saphenous vein graft was anchored along the arterior surface of the aorta. The left coronary artery was excised from the pulmonary artery. The vein graft was then anastomosed to the open end of the left coronary artery. The angiogram taken six weeks postoperatively shows a patent vein graft connecting the left coronary artery to the ascending aorta. The second case study is a five-year-old boy who also had electrocardiographic evidence of ischemia and a systolic heart murmur. In this case the branches of the right coronary artery anastomosed with those of the left coronary artery which arises from the pulmonary artery. During surgery the left coronary artery was excised from the pulmonary artery. A dacron tube graft was then anastomosed from the ascending aorta to the left coronary artery. Angiograms taken one month postoperatively reveal a patent graft
Sousa! a star-spangled spectacular( Recording )

1 edition published in 1998 and held by 1 WorldCat member library worldwide

Surgical correction of triatrial heart( Visual )

1 edition published in 1967 in English and held by 1 WorldCat member library worldwide

The purpose of this program is to demonstrate the surgical procedure for correcting tri-atrial heart. In this uncommon congenital formation, the left atrium is divided into two compartments by a diaphragm. As a result, blood flow to the mitral valve is obstructed. In order to demonstrate this surgical procedure a case study of a thirteen year old girl is presented. This girl had experienced easy fatigability and mild exertional hyspnea for eighteen months; a grade two early systolic ejection murmur was present at ehe cardiac apex and radiated to the left sternal border. The pulmonary second sound was accentuated. Chest x-rays revealed an enlarged right ventricle, a prominent pulmonary artery segment and left atrial enlargement. The electrocardiogram indicated right axis deviation and right ventricular hypertrophy. Cardiac catheterization demonstrated no cardiac shunt and an elevated pulmonary artery pressure. In this patient with pulmonary hypertension associated with a large left atrium, the diagnosis of tri-atrial heart was established by measuring the pressure differential from the pulmonary wedge position to the lower left atrium and through the angiographic demonstration of the obstructing membrane within the left atrium. Following a longitudinal incision across the left atrium, posterior to the left inter-atrial groove, the upper chamber was entered in the upper accessory portion of the left atrium. All pulmonary veins entered this upper chamber. The excision of the membrane between the two chambers was completed. Histologically the excised membrane contained hypertrophied atrial myocardium between layers of thickened endocardium. Postoperative roentgenograms of the chest reveal a diminished heart size
Aneurysm of ascending aorta and arch with aortic regurgitation : prosthetic replacement of the aortic valve and aortic arch( Visual )

2 editions published in 1966 in English and held by 1 WorldCat member library worldwide

This program demonstrates the surgical procedure for resection of an aneurysm of the ascending aorta complicated by a regurgitant aortic valve. A series of drawings is used intermittently throughout the program to discuss the pathology encountered and the next steps in the operation. A case study of a forty-eight-year-old woman with an aneurysm of the ascending aorta and aortic valvular insufficiency producing chest pain, chronic cardiac failure, and verified on roentgenograms, physical exam and aortogram is presented. Actual films of the operation are shown to illustrate the technique. A Magovern sutureless aortic valve prosthesis is inserted. The aorta is reconstructed by means of a Dacron graft which is sutured to the aortic cuff proximally and the aneurysm distally. The technique of perfusion was total body perfusion with standard cardiopulmonary bypass with selective left coronary artery perfusion. The use of a disposable plastic bubble oxygenator primed with 5 percent dextrose in water is illustrated. Roentgenograms of the chest taken six weeks after surgery are shown. A summary of the results and statistical data for this surgical procedure which was performed on thirty-sixpatients operated on over an eighteen month period is also provided
Single left coronary artery with fistula to right ventricle : correction establishing two-coronary system( Visual )

1 edition published in 1966 in English and held by 1 WorldCat member library worldwide

The purpose of this program is to demonstrate a single left coronary artery with fistula to right ventricle correction establishing a two-coronary system. The program achieves its objective primarily by means of a case study. In this program the case presented is a nine-year-old girl with a history of dyspnea on exertion, continuous systolic and diastolic murmur heard over the left chest anterior to the second intercostal space. Roentgenograms of the chest indicate that the heart size is at the upper limits of normal and pulmonary vascular markings are not significantly increased. Cardiac catheterizations indicate an oxygen stepup in the outflow tract of the right ventricle. Cinearteriograms reveal a single large left coronary artery whose circumflex branches continued in the course of the right coronary artery and ended as a fistula in the outflow tract of the right ventricle. The program shows the surgical correction of this anomaly by interrupting the fistula and inserting a graft to establish a dual source of inflow into the coronary system. A dacron tube graft is used to connect the right ventricular portion of the anomalous coronary artery to the ascending aorta. After completion of the anastomosis, vascular blood flow was reestablished. The results of a cardiac catheterization done six weeks after surgery indicate that the left to right shunt had been eliminated. Contrast media injected into the ascending aortaindicated that the graft was patent
Two stage surgical treatment of transposition of great vessels( Visual )

1 edition published in 1966 in English and held by 1 WorldCat member library worldwide

The program demonstrates the two stage surgical treatment of transposition of the great vessels. Stage one provides for palliative treatment during early infancy whereas stage two provides for total correction of the anomaly under more favorable circumstances when the child is older. The program uses diagrams to illustrate the anomaly and its effect on the circulatory pattern in the heart and two case studies to demonstrate the surgical procedure used to correct this anomaly. The first surgical procedure is demonstrated on an 8-week-old male infant with severe hypoxia due to transposition of the great vessels. Since children this age cannot tolerate total cardiopulmonary bypass, surgical treatment is limited to palliative measures. Intercardiac mixing of the blood and left atrial hypertension is relieved by the creation of an atrial septal defect. The creation of this atrial septal defect is achieved by a surgical procedure which is a modification of the technique originally developed by Blacock and Hamlen. Diagrams are used to illustrate the position of the clamp in relation to the atrium and septum. The program states that 75% of the infants who survive the surgery show improvement. The program then shifts to the other stage of surgical treatment, the permanent correction of transposition of the great vessels. This treatment is discussed in general and demonstrated by the second case study. a 7-year-old boy with a naturally occuring atrial septal defect. The surgery that is performed is total cardiopulmonary bypass
Cyst of left ventricle with outflow obstruction : diagnosis and surgical treatment( Visual )

1 edition published in 1968 in English and held by 1 WorldCat member library worldwide

The performance objective of this program is to discuss and to demonstrate the diagnosis and surgical treatment of a cyst of the left ventricle with outflow obstruction. Tumors of the heart may be intracavitary or intramural and intracavitary tumors may be solid or cystic. This program, however, focuses primarily on the diagnosis and surgical procedure to remove an intracavitary cyst of the left ventricle which is attached to the mitral valve. This program illustrates both surgical and diagnostic techniques through the use of a case study of a 39-year-old women with a two year history of a heart murmur, palpitations, and mild exertional dyspnea. As in most cases of tumors, symptoms resulted primarily from the obstruction of blood. A grade three systolic murmur existed at the cardiac apex and radiated to the axilla. Chest roentgenograms and cardiac catheterization revealed no abnormalities. Cineangiography, however, showed a three centimeter in diameter spherical lesion moving about within the left ventricle. The surgical procedure was demonstrated through the use of programs of the actual surgery. The main steps of the procedure appear to be as follows. A vascular clamp was placed across the ascending aorta and a transverse incision was then made into the ascending aorta. A cystic mass was found attached to the septal leaflet of the mitral valve. The base of the cyst was clamped and detached from the lower margin of the septal leaflet of the mitral valve. During removal the cyst ruptured and bloody fluid escaped into the ventricle. The remainder of the cyst was then removed. The mitral valve appeared to be intact and the aortotomy was closed. The cyst was2.5 centimeters in diameter with a broad fibrous pedicle and a thin translucent wall. Microscopic examination of the wall demonstrated that it was composed of collagen fibrous tissue. None of the surfaces of the cyst had an endothelial or epithelial lining. This feature plus the size of the lesion distinguished it from the more common lucous cyst. Cineangiography done eight days after surgery showed no abnormalities as did chest roentgenograms taken thirteen months postoperatively
Origin of right pulmonary artery from aorta : surgical correction( Visual )

1 edition published in 1968 in English and held by 1 WorldCat member library worldwide

This presentation describes and demonstrates the surgical correction of an anomalous origin of the right pulmonary artery from the aorta on a nine-day-old female infant. This objective is achieved with the aid of diagrams, drawings, and radiographs. In this presentation the mechanism of this deformity is described first. The surgical procedure is then demonstrated. Following a median sternotomy, the pericardium is incised vertically. The anomalous right pulmonary artery is dissectd and a control ligature is placed about it. The base of this artery and the groove between it and the aorta are dissected. Control ligatures are placed about the aortal proximal and distal to the origin of the right pulmonary artery. This artery is then partially divided distal to its origin from the aorta and the proximal stump is closed. The right pulmonary artery is then passed posterior to the ascending aorta and anastomosed end-to-side to the main pulmonary artery. When the sutures cut through the anastomosis, the anastomosis is taken down. An 8 mm. dacron graft is fashioned and sutured end-to-side to the main pulmonary artery. The graft is then placed anterior to the aorta and sutured end-to-end to the right pulmonary artery. The thoracic incision is closed in routine fashion. At the end of the third week, a pericardial window is created through a left thoracotomy incision
Surgical treatment of coronary heart disease : bypass, endarterectomy, aneurysmectomy.( Visual )

in English and held by 1 WorldCat member library worldwide

Simplified technic for excision of thoracoabdominal aneurysm( Visual )

1 edition published in 1966 in English and held by 1 WorldCat member library worldwide

The purpose of this program is to demonstrate the surgical technique of using bypass grafts to reestablish aortic continuity from the midthoracic to the lower abdominal aorta. Previous techniques used in this type of surgery utilized separate tube grafts which were placed between the bypass aortic graft and the individual visceral arteries. The technique demonstrated in this film eliminates the separate tube grafts by anastomosing the visceral arteries directly to the main aortic graft. Eliminating the separate tube grafts saves surgical time and simplifies this surgical procedure. The program utilizes a case study of a 34-year-old man to demonstrate the surgical technique. This man presents with pain in the chest and abdomen, a large pulsatile epigastric mass, and an aneurysm which extends from the lower thoracic aorta to the lower abdominal aorta. Both renal arteries arise from the aneurysm as do the iliac and superior mesenteric arteries which arise via a common stem. Following excision of the aneurysm, a direct end to end aorto-Dacron tube graft is anastomosed to the aorta. The renal arteries, and the common stem of the celiac and superior mesentery arteries are anastomosed directlyto the aortic graft. These visceral arteries receive blood directly from the aortic graft. Postoperative aortograms reveal a patent aortic graft and anastomosis
Comprehensive surgical management of tetralogy of Fallot( Visual )

1 edition published in 1967 in English and held by 1 WorldCat member library worldwide

This program effectively demonstrates the surgical procedures for both temporary and permanent correction of tetralogy of Fallot. Diagrams are used to discuss the physical abnormalities which characterize this condition: pulmonary stenosis,dextro-position of the aorta, ventricular septal defect, right ventricular hypertrophy. A case study of an infant under one year of age illustrates a surgical procedure for interpericardial anastomosis to provide temporary relief from anoxia and severe cyanosis. Preoperative roentgenograms and selective right ventricular angiograms indicative of severe infundibular pulmonic stenosis with a right to left shunt into the aorta are shown. An anastomosis is established between thesubjacent right pulmonary artery and the posterior aspect of the ascending aorta to relieve cyanosis. In addition, a case study of a five-year-old girl is used to demonstrate primary total repair of septal defect and pulmonary stenosis. Complete cardiopulmonary bypass is established. The obstructing infundibular muscle and fibrous tissue are excised circumferentially to enlarge the outflow tract of the right ventricle. An elliptical patch of percardium is used to widen the area in the pulmonary annulus. A circumferential patch of woven Dacron is inserted with the sutures parallel to the inferior margin on the right side of the septum to repair the intraventricular septal defect. The anastomosis established prior to total septal and pulmonary artery repair is closed. The program also demonstrates surgically and diagrammatically, in considerably less detail closure of interpericardial shunts, Blalock anastomosis between the right subclavian artery and the pulmonary artery, and Pott's anastomosis. The technique for surgical correction of Pott's anastomosis is briefly demonstrated on a five-year-old boy. The program states that the mortality rate for total correction of tetralogy of Fallot for 384 individuals operated on during a ten year period was 14 percent
Staged surgical treatment of ventricular septal defect in infants( Visual )

1 edition published in 1970 in English and held by 1 WorldCat member library worldwide

The purpose of this program is to demonstrate the staged surgical treatment of ventricular septal defects in infants. Part I of the program shows a surgical procedure which provides temporary relief of the symptoms by means of pulmonary artery banding and Part II provides total correction of the defect when the child is older and better able to tolerate open heart surgery. Both procedures are demonstrated by means of case studies. The program presents a case study of a six month old infant with intractable cardiac failure and repeated respiratory infections to demonstrate the technique of pulmonary artery banding. The program includes chest roentgenograms and cardiac catheterization findings to indicate the needfor surgery. During surgery the ductus arteriosus is dissected and a tape is pulled around the pulmonary artery thus restricting it to about one third of its original diameter. This technique relieves cardiac failure. A chest roentgenogram taken nine days after surgery indicates a satisfactory appearance. In the program, stage two of the surgical treatment of ventricular septal defect consists of total correction. A case study of a five year old boy who had previous surgery for coarctation of the aorta and pulmonary artery banding. The program shows his chest roentgenograms and cardiac catheterization findings. During surgery, cardiopulmonary bypass is instituted. In this case, the ventricular septal defect was located high in the ventricular septum immediately beneath the aortic and pulmonary valves. A patch of dacron cloth was used to correct the defect. The pulmonary artery was then incised at the site of the band which was cut and removed. An elliptical piece of pericardium was used as a patch for the pulmonary artery. Roentgenograms of the chest three months after surgery indicate a satisfactory appearance. Follow-up studies seven months after surgery indicate no shunt, normal pressures, and a patent pulmonary artery
 
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Audience level: 0.68 (from 0.23 for Surgical t ... to 0.96 for Surgical c ...)

Alternative Names
Hallman, Grady L.

Hallman, Grady L., 1930-

Hallman, Grady Lamar

Languages
English (35)