Disappearance of Coronary Artery-Ventricular Fistulas After a Radical Operation for Tetralogy of Fallot
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概要
- 論文の詳細を見る
A 42-year-old Japanese man was diagnosed as tetralogy of Fallot (TOF). Coronary arteriography demonstrated coronary artery-ventricular fistulas (left coronary artery to left ventricle, right coronary artery to right ventricle). A radical operation for TOF was performed, including a patch closure of the ventricular septal defect, right ventricular muscle resection and a patch enlargement of the right ventricular outflow tract. After the operation, coronary arteriography showed a marked decrease in the shount flow through the coronary artery-ventricular fistulas. Six months later, the patient was diagnosed as postoperative constrictive pericarditis, while the fistulas had almost completely disappeared. After pericardiectomy, when all hemodynamic variables were normal, the fistulas did not reappear. This is the first repor of TOF complicated with multiple coronary artery-ventricular fistulas which completely disappeared after a radical operation. It is conceivable that in our case coronary arteryventricular fistulas partially compensated for reduced arterial O_2 saturation and disappeared after surgical correction with an improvement in hemodynamic variables.
- 社団法人日本循環器学会の論文
- 1996-07-20
著者
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Mohri Masahiro
Kyushu Kouseinenkin Hospital
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SHIMOKAWA HIROAKI
The Research Institute of Angiocardiology and Cardiovascular Clinic, Faculty of Medicine, Kyushu Uni
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MOHRI MASAHIRO
The Research Institute of Angiocardiology and Cardiovascular Clinic, Faculty of Medicine, Kyushu Uni
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TAKESHITA AKIRA
The Research Institute of Angiocardiology and Cardiovascular Clinic, Faculty of Medicine, Kyushu Uni
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Kadokami Toshiaki
The Research Institute of Angiocardiology and Cardiovascular Clinic, Kyushu University School of Med
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Ito Akira
The Research Institute of Angiocardiology and Cardiovascular Clinic, Kyushu University School of Med
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Mohri Masahiro
The Research Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Unive
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Kadokami Toshiaki
Department Of Cardiovascular Medicine Kyushu University Graduate School Of Medical Sciences
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Ito Akira
Department Of Cardiovascular Medicine Kyushu University Graduate School Of Medical Sciences
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Takeshita Akira
Department Of Cardiovascular Medicine Graduate School Of Medical Sciences Kyushu University
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Takeshita Akira
The Research Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Unive
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Kozai Toshiyuki
Department Of Cardiovascular Medicine Kyushu University Graduate School Of Medical Sciences
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Shimokawa Hiroaki
The Research Institute Of Angiocardiology And Cardiovascular Clinic Kyushu University School Of Medi
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