Left Ventricular Morphometric Estimation of the Coarctation Complex in the First Year of Life

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概要

• 論文の詳細を見る

• Coarctation complex is a serious congenital cardiovascular malformation in infants. It is associated with severe congestive cardiac overload and high mortality even after surgical treatment.To investigate left ventricular performance, quantitative morphometry and histometry of the left ventricle were carried out in 19 autopsied patients who died without surgical intervention. The following results were obtained:1. Coarctation of the aorta was found to selectively affect the left ventricle, showing a volume overload response without effectively adapting to the pressure overload; the right ventricle showed a significant reaction to the pressure overload.2. The coronary arterioles responded to the pressure load in the left ventricle.In order to promptly recover left ventricular function, simple coarctectomy without VSD closure or other procedures is advisable for treatment of the coarctation complex in the early months of life.

• International Heart Journal刊行会の論文

著者

• MIZUNO Akira

  Department of Astrophysics, Nagoya University

• Shindo Goki

  Department Of Thoracic Surgery And The Second Department Of Medicine University Of Tokyo

• Okada Ryozo

  Department of Cardiovascular Pathology and Cardiology, Juntendo University

• Ueno Akira

  Department of Internal Medicine, Division of Cardiology, Nippon Medical School

• Saigusa Masahiro

  Department Of Thoracic Surgery And The Second Department Of Medicine University Of Tokyo

• TSUNEMOTO Minoru

  Department of Cardiovascular Surgery and Department of Pediatric Cardiology, National Childrens Hosp

• Okada Ryozo

  Department Of Cardiology Juntendo University School Of Medicine

• Mizuno Akira

  Department Of Astrophysics Nagoya University

• SAIGUSA Masahiro

  Department of Thoracic Surgery and the Department of Gynecology and Obstetrics, University of Tokyo

• TSUNEMOTO Minoru

  Department of Cardiovascular Surgery and Department of Pediatric Cardiology, National Children's Hospital

• TSUNEMOTO Minoru

  Department of Cardiovascular Surgery, the National Children's Hospital

• SAIGUSA Masahiro

  Department of Surgery, Faculty of Medicine, University of Tokyo

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