A MORPHOMETRICAL STUDY OF MYOCARDIAL DISARRAY ASSOCIATED WITH RIGHT VENTRICULAR OUTFLOW TRACT OBSTRUCTION

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概要

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• In order to define quantitatively the histological characteristics of the hypertrophied myocardium of the right ventricular outflow tract in patients with congential heart disease, a light-microscopic study of biopsy specimens obtained from 20 cases with tetralogy of Fallot (TOF) and 14 cases with muscular obstruction of the right ventricular outflow tract (RVOTO) was performed using a semi-automatic sampling counter. As the controls, the crista supraventricularis of 11 autopsied cases without cardiac disease were used. The TOF patients were divided into two groups; those with (9 cases) or without (11) a history of hypoxic spells. The myocyte diameter was calculated according to Chalkley's^<27> and Arai's method.^<28> The areas of myocardial fibrosis and myocyte disarray were determined quantitatively by the point count method. Myocardial fibrosis was classified into five types: focal, mild perimysial, severe perimysial, perivascular and plexiform. In the control group, the myocyte diameter and area of fibrosis and disarray tended to increase with age. In the obstructive groups, the myocyte diameter and area of disarray were greater than those of the control in any age group. Myocyte diameter tended to increase with age in all groups, except for the TOF cases with a history of hypoxic spells. The latter also had the largest area of myocardial disarray (25.3%) (p<0.01), and a largest area of fibrosis (20.5%) than the TOF cases without spell (14.4%), but severe perimysial fibrosis was observed in only five out of the nine patients with spells. The lack of a relation between the pressure and the presence of an increased area of the myocardial disarray in TOF with spells implies that his myocardial change is brought about by myocardial abnormality accompanied by cardiac malformation.

• 社団法人日本循環器学会の論文
• 1984-05-20

著者

• KITAMURA Kazuo

  Division of Circulatory and Body Fluid Regulation, Faculty of Medicine, Department of Internal Medic

• Kitamura Kazuo

  Division Of Cardiology Department Of Internal Medicine School Of Medicine Juntendo University

• Okada Ryozo

  Gumma Paz College School of Nursing

• Suzuki Akio

  Department of Thoracic and Cardiovascular Surgery, Tokyo Medical and Dental University

• Okada Ryozo

  Division of Cardiology, Department of Internal Medicine, Juntendo University

• Kitamura Kazuo

  The First Department Of Pathology Juntendo University School Of Medicine

• Kawai Sachio

  Division of Cardiology, Juntendo University

• Okada Ryozo

  Division Of Cardiology Department Of Internal Medicine Juntendo University

• SAITO SHU

  Department of Pathology, School of Medicine, Juntendo University

• Kawai Sachio

  Division Of Cardiology Department Of Internal Medicine Juntendo University School Of Medicine

• Saito Shyu

  Department Of Pathology School Of Medicine Juntendo University

• Saito Shu

  Department Of Orthopaedic Surgery

• Kitamura Kazuo

  Division Of Cardiology Juntendo University School Of Medicine.

• Kawai Sachio

  Research Laboratory For Cardiovascular Pathology Juntendo University

• Suzuki Akio

  Department Of Electrical Engineering And Electronics College Of Engineering Osaka Sangyo University

• Okada Ryozo

  Res. Lab. For Cardiovasc. Pathol. Juntendo Univ.

• Kitamura Kazuo

  Division Of Cardiology Department Of Internal Medicine And Physiolocly Juntendo Univercity

• Suzuki Akio

  Department Of Thoracic Surgery School Of Medicine Juntendo University

• Suzuki Akio

  Department Of Biological Science Faculty Of Science Kumamoto University

• Kitamura Kazuo

  Cardiovascular Division Dept. Of Intern. Med. School Of Medicine Juntendo University.

• Suzuki Akio

  Department Of Biological Science Faculty Of Science Graduate School Of Science And Technology Kumamo

• Suzuki Akio

  Department of Applied Chemistry, Faculty of Engineering, Yamagata University

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