SURGICAL TREATMENT OF VENTRICULAR SEPTAL DEFECT AND ITS SEQUELAE IN ADULTS
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概要
- 論文の詳細を見る
We operated on 20 adult patients with ventricular septal defect (VSD). In 7 of these cases (aged 36 to 51 years, average 42.6 years), VSD was accompanied by sequelae other than pulmonary hypertension. Concomitant procedures in type-I VSD included a suspension of the prolapsed aortic cusp in 2 patients, a repair of the ruptured sinus of Valsalva in 2, and a new procedure for active infective endocarditis, described below, in 2. In this latter procedure, the aortic valve and infected Valsalva sinus were excised, and the pulmonary valve and the right ventricular wall to which the infection had extended were thoroughly debrided. The resulting defect was closed with a single patch, and a prosthetic valve was inserted in the position of the original aortic valve using this patch as part of the annulus. Another patient with the type-II VSD underwent concomitant tricuspid valve replacement for infective endocarditis. In the mean follow-up period of 77.1 months, 6 patients have been doing well in New York Heart Association class I, and the remaining patient with Valsalva repair remained in class II due to dilated cardiomyopathy.
- 社団法人日本循環器学会の論文
- 1994-10-20
著者
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OBO Hidefumi
Department of Cardiovascular Surgery, Hyogo Brain and Heart Center
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HIGAMI Tetsuya
First Department of Surgery, Shimane University School of Medicine
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OGAWA Kyoichi
Department of Cardiovascular Surgery, Hyogo Brain and Heart Center
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OBO HIDEFUMI
Division of Cardiovascular Surgery, Brain and Heart Center at Himeji
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MUKOHARA NOBUHIKO
Division of Cardiovascular Surgery, Brain and Heart Center at Himeji
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HIGAMI TETSUYA
Division of Cardiovascular Surgery, Brain and Heart Center at Himeji
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Asada Tatsuro
Division Of Cardiovascular Surgery Hyogo Brain And Heart Center
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Ogawa Kyoichi
Division Of Cardiovascular Surgery Hyogo Brain And Heart Center
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SUGIMOTO TAKAKI
Division of Cardiovascular Surgery, Hyogo Brain and Heart Center
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Kawamura Tsuyoshi
Division of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji
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SUGIMITO TAKAKI
Division of Cardiovascular Surgery, Hyogo Brain and Heart Center
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Kawamura Tsuyoshi
Division Of Cardiovascular Surgery Hyogo Brain And Heart Center At Himeji
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Obo Hidefumi
Department Of Cardiovascular Surgery Hyogo Brain And Heart Center
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Obo Hidefumi
Department Of Cardiovascular Surgery Himeji Cardiovascular Center
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Asada Tatsuro
The Division Of Cardiovascular Surgery Hyogo Brain And Heart Center At Himeji
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Asada Tatsuro
The Division Of Cardiovascular Surgery Hyogo Brain And Heart Center
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Higami Tetsuya
First Department Of Surgery Shimane University School Of Medicine
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Higami Tetsuya
Division Of Cardiovascular Medicine Department Of Cardiovascular Surgery Shimane University Faculty
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Higami Tetsuya
The Division Of Cardiovascular Surgery Hyogo Brain And Heart Center
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Mukohara Nobuhiko
Department Of Cardiovascular Surgery Hyogo Brain And Heart Center At Himeji
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Sugimoto Takaki
Division Of Cardiovascular Surgery Hyogo Brain And Heart Center
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Ogawa Kyoichi
Department Of Cardiovascular Surgery Hyogo Brain And Heart Center
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Mukohara Nobuhiko
Department Of Cardiovascular Surgery Hyogo Brain And Heart Center
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Mukohara Nobuhiko
Division Of Cardiovascular Surgery Himeji Cardiovascular Center
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