Hemodynamic Consequences of a Swinging, Infarcted Ventricular Septum
スポンサーリンク
概要
- 論文の詳細を見る
Noonan syndrome presents with dysmorphic facial features, short stature, and cardiac abnormalities (most commonly pulmonic stenosis and hypertrophic cardiomyopathy). This report describes a rare case accompanied by a secundum atrial septal defect (ASD) and a ventricular septal aneurysm causing right ventricular (RV) pressure gradient. A 29-year-old mentally retarded man was admitted to hospital with exertional dyspnea. His somatic features included short stature (148cm), hypertelorism, a shield chest, and thoracic scoliosis. Echocardiogram showed a secundum ASD with bidirectional shunting and a ventricular septum bulging toward the left ventricle in diastole, and then toward the RV in systole causing obliteration of the RV. The peak pressure gradient measured across the RV outflow by continuous wave Doppler was 30mmHg. Cardiac catheterization revealed an elevated RV pressure without pulmonary hypertension and confirmed the pressure gradient. Right ventriculography revealed the septal excursion toward the RV in systole, leaving only a small residual cavity in the inflow and outflow regions of the RV. The ASD was closed with an autologous pericardial patch. A thin, fibrous portion of the ventricular septum was resected and replaced with a Dacron patch. From the histological examination, the RV cavity obliteration turned out to be produced by the excursion of the infarcted ventricular septum.
- 社団法人日本循環器学会の論文
- 2006-04-20
著者
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YAMAMOTO Hideya
Department of Cardiovascular Medicine, Graduate School of Biomedical Sciences, Hiroshima University
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KOHNO Nobuoki
Department of Molecular and Internal Medicine, Graduate School of Biomedical Sciences, Hiroshima Uni
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Hirai Yukoh
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical Science
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Tasaki Naohito
Department of Molecular Medicine, Hiroshima University Graduate School
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Yamamoto Hideya
Department Of Cardiovascular Medicine Graduate School Of Biomedical Sciences Hiroshima University
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Yamamoto Hideya
Department Of Cardiovascular Medicine Hiroshima University Graduate School Of Biomedical Sciences
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Okimoto Tomokazu
Division Of Cardiology Cardiovascular Center Akane Foundation Tsuchiya General Hospital
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Okimoto Tomokazu
Department Of Cardiology Hiroshima Prefectural Hiroshima Hospital
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Kohno Nobuoki
Department Of Molecular And Internal Medicine Graduate School Of Biomedical Sciences Hiroshima Unive
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Kohno Nobuoki
広島大学 医歯薬学総合研究科分子内科学
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Otsuka Masaya
Division Of Cardiology Cardiovascular Center Akane Foundation Tsuchiya General Hospital
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Kohno Nobuoki
Department Of Molecular And Internal Medicine Hiroshima University Graduate School Of Biomedical Sci
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Yamamoto Hideya
Department Of Molecular And Internal Medicine Hiroshima University Graduate School Of Biomedical Sci
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Otsuka Masaya
Department Of Molecular And Internal Medicine Graduate School Of Biomedical Sciences Hiroshima Unive
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Criley John
Harbor-UCLA Medical Center
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Oba Osamu
Department of Cardiovascular Surgery, Hiroshima City Hospital
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Hisamochi Kunikazu
Department of Cardiovascular Surgery, Hiroshima City Hospital
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Ochi Naomi
Department of Molecular and Internal Medicine, Graduate School of Biomedical Sciences, Hiroshima Uni
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Ohnishi Mayu
Department of Molecular and Internal Medicine, Graduate School of Biomedical Sciences, Hiroshima Uni
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Tasaki Naohito
Department Of Molecular And Internal Medicine Hiroshima University
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Tasaki Naohito
Department Of Cardiology Hiroshima General Hospital
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Tasaki Naohito
Department Of Molecular And Internal Medicine Division Of Clinical Medical Science Programs For Appl
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Yamamoto Hideya
Hiroshima - CT Angiography Research Project (H-CARP) Group
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Kohno Nobuoki
Department Of Internal Medicine Hiroshima University Graduate School Of Medicine
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Kohno Nobuoki
Second Department Of Internal Medicine Hiroshima University School Of Medicine
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Oba Osamu
Department Of Cardiovascular Surgery Hiroshima City Hospital
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Ochi Naomi
Department Of Molecular And Internal Medicine Graduate School Of Biomedical Sciences Hiroshima Unive
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Ohnishi Mayu
Department Of Molecular And Internal Medicine Graduate School Of Biomedical Sciences Hiroshima Unive
-
Yamamoto Hideya
Department Of Molecular And Internal Medicine Hiroshima University
-
Kohno Nobuoki
Department Of Molecular And Internal Medicine Hiroshima University
-
Kohno Nobuoki
Department Of Molecular And Internal Medicine Division Of Clinical Medical Science Programs For Appl
-
Yamamoto Hideya
Department Of Molecular And Internal Medicine Graduate School Of Biomedical Sciences Hiroshima Unive
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Hisamochi Kunikazu
Department Of Cardiovascular Surgery Hiroshima City Hospital
-
Kohno Nobuoki
Department Of Molecular And Internal Medicine Hiroshima University Graduate School Of Biomedical Sci
-
Kohno Nobuoki
Department Of Molecular And Internal Medicine Graduate School Of Biomedical Sciences Hiroshima Unive
-
Yamamoto Hideya
Department Of Molecular And Internal Medicine Graduate School Of Biomedical Sciences Hiroshima Unive
-
Kohno Nobuoki
Department Of Molecular And Internal Medicine Graduate School Of Biomedical Sciences Hiroshima Unive
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Ohnishi Mayu
Department Of Medicine And Molecular Science Hiroshima University Graduate School Of Biomedical Scie
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Otsuka Masaya
Department Of Cardiology Cardiovascular Center Tsuchiya General Hospital
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Okimoto Tomokazu
Department Of Cardiology Cardiovascular Center Tsuchiya General Hospital
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