Coarctation of the aorta in early infancy. Left ventricular outflow tract obstruction and its clinical implications.:Left Ventricular Outflow Tract Obstruction and Its Clinical Implications
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概要
- 論文の詳細を見る
In order to clarify the clinical significance of left ventricular outflow tract obstruction, 11 infants with coarctation of the aorta and ventricular septal defect were subjected to cineangiography (or autopsy) analysis.Three infants without left ventricular outflow tract obstruction were salvaged by aortoplasty using a subclavian flap or a Dacron patch with concomitant pulmonary artery banding. The remaining 8 infants died surgically or nonsurgically, and were confirmed retrospectively to have had left ventricular outflow tract obstruction.It seems worthwhile to stress that the presence of an abnormal muscle bundle in the left ventricle can be demonstrated angiographically, especially by the axial technique.From our present study, though the number of cases examined is limited, we have an impression that left ventricular outflow tract obstruction may be a determining factor with regard to the appropriateness of pulmonary artery banding in the two-stage operation for infantile coarctation associated with a large ventricular septal defect.
- International Heart Journal刊行会の論文
著者
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Masaki Hideto
Depart.of Cardio-thorac. Surg. Kyushu Kosei-nenkin Hospital
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Watanabe Koichiro
Department Of Applied Chemistry Kyushu Institute Of Technology
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Iwata Yasushi
Department Of Applied Chemistry Nagoya Institute Of Technology
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HIROSE Mizuo
Department of Pediatric Cardiology, Kyushu Kosei Nenkin Hospital
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IWATA Yasushi
Department of Pathology, Kyushu Kosei Nenkin Hospital
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JOH Kunitaka
Department of Pediatric Cardiology, Kyushu Kosei Nenkin Hospital
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MASAKI Hideto
Department of Surgery, Kyushu Kosei Nenkin Hospital
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