Ruptured aortic sinus aneurysms
Autor: | Jerome Harold Kay, Oscar Magidson |
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Rok vydání: | 1963 |
Předmět: |
congenital
hereditary and neonatal diseases and abnormalities medicine.medical_specialty Aortic sinus aneurysm business.industry Fistula medicine.disease Right atrial Surgery Lesion medicine.anatomical_structure Aneurysm Ductus arteriosus Aortic sinus cardiovascular system medicine Right atrium cardiovascular diseases Radiology medicine.symptom Cardiology and Cardiovascular Medicine business |
Zdroj: | American Heart Journal. 65:597-606 |
ISSN: | 0002-8703 |
DOI: | 10.1016/0002-8703(63)90122-4 |
Popis: | 1. Seven new cases of ruptured aortic sinus aneurysm are presented. All the patients were submitted to open-heart surgery, with one operative death. 2. The characteristic continuous murmur of this lesion is discussed, and the possibility of distinguishing right ventricular from right atrial perforations is noted. In the 2 patients with fistulas into the right atrium the murmur was localized to the xiphisternum and the area immediately laterally, without radiation higher into the chest. The murmurs in the patients with right ventricular fistulas were heard over the second to fifth left intercostal spaces. None had a predominant radiation of the murmur above the second intercostal space, as is common in patent ductus arteriosus. 3. The difficulty in determining the time of rupture of the aneurysm in these patients is stressed, and in one case the fistula may have been congenital. 4. The condition is amenable to operation, and most cases should be curable. |
Databáze: | OpenAIRE |
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