Pulmonary atresia with intact ventricular septum and ventriculocoronary communications: surgical significance.
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منابع مشابه
CASE REPORTS Pulmonary Atresia with Intact Ventricular Septum and Ventriculocoronary Communications: Surgical Significance
a large orifice in the right ventricular infundibulum that communicated directly with the left main coronary artery. Severe hypertensive changes indicative of abnormally high perfusion pressure were noted in the distal left coronary artery branches. The clinical course suggests that the effect of relieving right ventricular outflow obstruction was a reduction of left main coronary artery blood ...
متن کاملPulmonary atresia with intact ventricular septum and ventriculocoronary communications: surgical significance.
The first stage of a repair of pulmonary atresia with intact ventricular septum (type I) was attempted in a 2-day-old infant. At surgery, decompression of the hypertensive small right ventricle was followed by a sudden loss of myocardial contractility and death. Postmortem examination revealed a fistula with a large orifice in the right ventricular infundibulum that communicated directly with t...
متن کاملSurgical treatment of pulmonary atresia with intact ventricular septum.
Fifty-nine children with pulmonary atresia and intact ventricular septum underwent various forms of surgical treatment at the Hospital for Sick Children, Toronto, during 1950 to mid 1975. Twenty-three patients had pulmonary valvotomy, 15 direct, 2 indirect, and 6 both direct valvotomy and infundibulectomy. All died, 19 early and 4 late. Of 13 patients who received a systemic-pulmonary artery sh...
متن کاملPulmonary atresia with intact ventricular septum
OBJECTIVES We describe the morphologic variability in pulmonary atresia with intact ventricular septum (PAIVS) within a population-based study. BACKGROUND An uncommon disease, PAIVS shows considerable morphologic heterogeneity. Clinical reports, based mostly on small samples of patients, may not reflect the true spectrum of pathology of this condition. We have studied the entire range of morpho...
متن کاملPulmonary atresia with intact ventricular septum.
It is important to employ a strategy for pulmonary atresia with intact ventricular septum (PAIVS) in collaboration with cardiology and cardiac surgery. We established our policy of treatment based on the right ventricular end diastolic volume. Sinusoidal communication should be carefully considered. Prognosis was poor in case of interruption of coronary arteries. Although catheter intervention ...
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ژورنال
عنوان ژورنال: Circulation
سال: 1982
ISSN: 0009-7322,1524-4539
DOI: 10.1161/01.cir.65.4.805