The Persistent Ostium Primum Atrial Septal Defect
نویسنده
چکیده
Five patients with an ostium primum type of atrial septal defect were studied by clinical and laboratory methods and the diagnosis was verified either at the time of open-heart surgery and/or at autopsy. The atrioventricular valves formed the floor of the defect and were deformed in 4 of the 5 patients. Mitral insufficiency was present as a result of this valvular deformity in these four patients. This valvular deformity resulted in a high pitched blowing systolic murmur, audible over the apical and lower left sternal areas, and left axis deviation and indications of left ventricular hypertrophy, determined by electrocardiography. The deformity of the mitral valve is considered to be the basis for these variations from the typical findings found in the patient with an ostium secundum type of atrial septal defect and make the differential diagnosis of the persistent ostium primum possible under these circumstances.
منابع مشابه
The persistent ostium primum atrial septal defect. (Partial persistent common atrioventricular canal).
متن کامل
The persistent ostium primum atrial septal defect.
Five patients with an ostium primum type of atrial septal defect were studied by clinical and laboratory methods and the diagnosis was verified either at the time of open-heart surgery and/or at autopsy. The atrioventricular valves formed the floor of the defect and were deformed in 4 of the 5 patients. Mitral insufficiency was present as a result of this valvular deformity in these four patien...
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The anatomy of the ostium primum atrial septal defect has been known since Rokitansky's description in 1875. However, until the introduction of cardiac catheterization and open heart surgery, information about the physiology and clinical features of this condition lagged behind knowledge of the morbid anatomy. Attempts at surgical correction have influenced the natural history, and information ...
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Nomenclature and Classification There are 3 major types of ASDs or interatrial communications: ostium secundum, ostium primum, and sinus venosus (Figure 1A) defects. The ostium secundum is a true defect of the atrial septum and involves the region of the fossa ovalis. The ostium primum defect is within the spectrum of the atrioventricular (AV) septal defects (Figure 1B; also known as AV canal d...
متن کاملGenetics of Atrial Septal Defect
Sanchez Cascos, A. (1972). Archives of Disease in Childhood, 47, 581. Genetics of atrial septal defect. Of 109 cases of atrial septal defect, cases with an isolated defect (92 cases) showed a female preponderance (sex ratio 0 64), but there was a higher risk to the sibs of the male patients, suggesting a multifactorial mechanism. Dermatoglyphs showed a large number of whorls on the fingers. In ...
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تاریخ انتشار 2005