Ventricular Septal Defect and Aortic Insufficiency
Autor: | Preben Lomholt, Henning K. Andersen |
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Rok vydání: | 1972 |
Předmět: |
Heart Septal Defects
Ventricular Male Cardiac Catheterization medicine.medical_specialty Poor prognosis Aortography Adolescent Aortic Valve Insufficiency Blood Pressure Internal medicine medicine Humans cardiovascular diseases Child Ductus Arteriosus Patent medicine.diagnostic_test business.industry Angiography Infant Surgery Child Preschool Clinical diagnosis Heart catheterization cardiovascular system Cardiology Female Cardiology and Cardiovascular Medicine business Plastic repair Blood Flow Velocity Left ventricular strain Follow-Up Studies |
Zdroj: | Scandinavian Journal of Thoracic and Cardiovascular Surgery. 6:57-64 |
ISSN: | 0036-5580 |
DOI: | 10.3109/14017437209134291 |
Popis: | Six cases of aortic insufficiency were found among 203 patients with ventricular septal defect cathe-terized during a 10-year period. The clinical, haemo-dynamic and angiographic findings are presented and compared with data previously reported in the literature. It is often possible to make a presumptive clinical diagnosis on the basis of auscultatory findings, symptoms of aortic insufficiency, increased pulmonary markings on chest X-rays and electrocardiographic and roentgeno-logic evidence of left ventricular strain. For a final diagnosis and elucidation of the anatomical details both right-sided heart catheterization and aortography are necessary.The clinical picture is variable, with a tendency to poor prognosis in those patients with marked aortic insufficiency.Using extracorporal circulation, closure of the ventricular septal defect and plastic repair of the aortic cusp were performed in 5 patients. One patient died postoperatively, improvement was seen in 3 and no change in condition was noticed i... |
Databáze: | OpenAIRE |
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