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- ArticlePanzner R, Panzner B, Nowak W.Z Gesamte Inn Med. 1979 Sep 01;34(17):230-1.The clinical histories of 612 patients who underwent an operation of the heart were evaluated. Eight times a more severe haemorrhage from the upper gastrointestinal tract was described, i.e. 1.3%. One patient died under the signs of the septic shock. All patients were treated conservatively, only in one patient an ulcer existed 12 years before the heart operation.