Sinus venosus atrial septal defect: Analysis of fifty cases
| Autor: | Julius L. Bedynek, Melvin D. Cheitlin, James E. Davia |
|---|---|
| Rok vydání: | 1973 |
| Předmět: |
Adult
Male Cardiac Catheterization medicine.medical_specialty Adolescent medicine.medical_treatment Indicator Dilution Techniques Hemodynamics Inferior vena cava Heart Septal Defects Atrial Electrocardiography Internal medicine medicine Humans cardiovascular diseases Persistent left superior vena cava Child Cardiac catheterization Heart septal defect Anomalous pulmonary venous connection medicine.diagnostic_test business.industry Heart Middle Aged Sinus venosus atrial septal defect medicine.disease Radiography medicine.vein Pulmonary Veins Child Preschool cardiovascular system Cardiology Female Cardiology and Cardiovascular Medicine business Heart Auscultation |
| Zdroj: | American Heart Journal. 85:177-185 |
| ISSN: | 0002-8703 |
| DOI: | 10.1016/0002-8703(73)90458-4 |
| Popis: | Clinical, hemodynamic, and anatomic data were analyzed in 50 cases of sinus venosus atrial septal defect (SVASD) that underwent surgery. SVASD comprised 12 per cent ( 50 470 ) of ASD's over a 12 year period. All patients had a mid-systolic murmur and fixed splitting of the second sound. Analysis of 48 preoperative ECG's revealed that 46 per cent had a P wave axis of less than 30 degrees. Cardiac catheterization data were not distinctive for SVASD although the demonstration of anomalous pulmonary venous connection (APVC) was highly suggestive. At surgery a persistent left superior vena cava was present in 8 per cent ( 4 50 ). APVC was found in 86 per cent ( 43 50 ). In the 38 patients with APVC in whom accurate anatomic description was available, all had APVC from the right upper lobe. Twenty-five patients also had APVC from the right middle and inferior lobes or from the middle lobe. Distal connections of the anomalous veins were as follows: 27 to the SVC, 6 to the SVC-right atrial junction 7 to the right atrium, 3 to the SVC and to the right atrium, and 1 to the inferior vena cava. |
| Databáze: | OpenAIRE |
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