Clinical and Angiographic Analysis of Congenital Coronary Artery Fistulae in Adulthood. Is There Any New Trend?:Is There Any New Trend?
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概要
- 論文の詳細を見る
Fifteen (2.1%) patients were diagnosed as having congenital coronary artery fistula (CAF) in a consecutive series of 704 adult patients undergoing selective coronary arteriography; the incidence was astonishingly higher than previous observations. The presentation of clinical symptoms and the electrocardiographic changes at rest and/or after exercise testing probably attributable to the CAF were observed unexpectedly often in spite of the fact that the magnitude of the shunt seemed not to be significant. With respect to the anatomy of the CAF, the incidence of origination from plural coronary arteries and that of fistulation into the left ventricle were also unexpectedly high. These observations presented a striking contrast to those of previous reports, but we were unable to determine the reason. In four cases, the CAF was ligated either electively or concurrently with mitral valve surgery, and the results were satisfactory. Taking these circumstances into consideration, we should not minimize the impact of a CAF with a seemingly small shunt.
- International Heart Journal刊行会の論文
著者
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Shimizu Nobuyoshi
Department Of Cancer And Thoracic Surgery Okayama University Graduate School Of Medicine
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OTA TETSUYA
Department of Surgery II, Okayama University Medical School
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Ota Tetsuya
Department Of Cancer And Thoracic Surgery Okayama University Graduate School Of Medicine And Dentist
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Tamesue Kiyokazu
Department Of Cancer And Thoracic Surgery Okayama University Graduate School Of Medicine And Dentist
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Yamamoto Hiroshi
Departmemt Of Chemical Engineering University Of Tokyo
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TAMESUE Kiyokazu
Department of Surgery II, Okayama University Medical School
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NAWA Sugato
Department of Surgery II, Okayama University Medical School
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TOSHINO Norihide
Junkankika-Hayashi Hospital
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HAYASHI Kenji
Junkankika-Hayashi Hospital
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MWYACHI Yasuo
Junkankika-Hayashi Hospital
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SHIBA Takashi
Junkankika-Hayashi Hospital
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YAMAMOTO Hiroshi
Department of Surgery II, Okayama University Medical School
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