Pulmonic Stenosis and Intact Septum
نویسندگان
چکیده
T HE clinical profile, hemodynamic data, and diagnostic criteria of patients with pulmonic stenosis and intact ventricular septum are well known.;' The results of surgery by the Brock method and moderate hypothermia have been amply documented.1 6-10 No rosults of a long-term follow-up of a large number of patients, operated upon by means of the pump oxygenator, are available at the present time. The purpose of the present publication is to present a large group of patients with pulmonic stenosis and intact ventricular septum operated upon by open-heart technic with use of a disc oxygenator, between 1957 and 1961. The preoperative clinical profile is presented briefly, only insofar as it pertains to the severity of the disease, and almost exclusively in charts. The surgical approach is presented briefly. Operative results and postoperative changes in the various clinical and hemodynamic parameters are surveyed in detail.
منابع مشابه
Diagnosis and surgical treatment of infants with critical pulmonary outflow obstruction. Study of thirty-four infants with pulmonary stenosis or atresia, and intact ventricular septum.
The records of 15 infants with pulmonary atresia and 19 infants with critical pulmonic stenosis and intact ventricular septum, all under 1 year of age, have been reviewed. Symptoms started earlier and were more severe in the group with pulmonary atresia. All patients showed arterial unsaturation, and many had congestive heart failure. The electrocardiogram was the most helpful tool in different...
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IT HAS BEEN assumed that patients with pulmonic stenosis and a right aortic arch practically always have a ventricular septal defect as well. As a matter of fact, in the differential diagnosis of pulmonic stenosis and right-to-left shunt, the presence of a right aortic arch often was taken as conclusive evidence of a tetralogy of Fallot-type lesion. -3 A review of the literature revealed among ...
متن کاملDiagnosis and Surgical Treatment of Infants with Critical Pulmonary Outflow Obstruction
The records of 15 infants with pulmonary atresia and 19 infants with critical pulmonic stenosis and intact ventricular septum, all under 1 year of age, have been reviewed. Symptoms started earlier and were more severe in the group with pulmonary atresia. All patients showed arterial unsaturation, and many had congestive heart failure. The electrocardiogram was the most helpful tool in different...
متن کاملHemodynamic Effects of Valvulotomy in Pulmonic Stenosis By PAUL
Seven patients with mild to moderate pulmonic stenosis with intact ventricular septum were subjected to cardiac catheterization before and from 4 to 18 months after pulmonary valvulotomy. Despite uniform clinical improvement, remarkably slight changes were observed, following surgery, in right ventricular pressure, pulmonary artery pressure, pulmonary artery flow, and pulmonary valve area, when...
متن کاملHemodynamic effects of valvulotomy in pulmonic stenosis.
Seven patients with mild to moderate pulmonic stenosis with intact ventricular septum were subjected to cardiac catheterization before and from 4 to 18 months after pulmonary valvulotomy. Despite uniform clinical improvement, remarkably slight changes were observed, following surgery, in right ventricular pressure, pulmonary artery pressure, pulmonary artery flow, and pulmonary valve area, when...
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تاریخ انتشار 2005