An Aged Case with Ventricular Septal Defect of the Persistent Common Atrioventricular Canal Type : With Special References to Its Spontaneous Closure and a Histological Study of the Conduction System

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概要

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• A 72-year-old female with aortic and mitral regurgitations showed spontaneous closure of the ventricular septal defect (VSD) of the persistent common atrioventricular canal type at autopsy. The VSD was closed by the septal leaflet of the tricuspid valve. Mesoaortitis and prolapse of the posterior cusp of the aortic valve into the VSD could be causes of the aortic regurgitation and a cleft mitral valve corresponded to the mitral regurgitation. Examination of the conduction system revealed that (1) AV node was deviated to the left and postero-inferiorly from the position of the coronary sinus, (2) an accessory bundle formed a peculiar construction and combination with the AV bundle in the central fibrous body, (3) the AV bundle was shorter than normal by the manner to descend vertically to the left side, (4) the left bundle branch was deviated to the posterior part of the left ventricle, and (5) the right bundle branch took a long course if compared to the left bundle branch. Pathogenesis of the left axis deviation in electrocardiogram of this case was discussed on the base of the anomalies of the conduction system.

• International Heart Journal刊行会の論文

著者

• Okada Ryozo

  Department of Cardiovascular Pathology and Cardiology, Juntendo University

• Sugiura Masaya

  Department Of Cardiology Tokyo Metropolitan Hiroo General Hospital

• Sugiura Masaya

  Hiroo Hospital

• Ohkawa Shin-ichiro

  Department Of Cardiology Tokyo Metropolitan Geriatric Hospital

• Sugiura Masaya

  Dept. Of Int. Med. Tokyo Metropol. Geriat. Hosp. (yoiku-in) & Dept. Of Clin. Path. Tokyo Metropo

• Okada Ryozo

  Department Of Cardiology Juntendo University School Of Medicine

• OHKAWA Shin-ichiro

  Department of Internal Medicine Yoiku-in Hospital, Tokyo Municipal Home for the Aged

• OKADA Ryozo

  Department of Internal Medicine, School of Medicine, Juntendo University

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