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Titolo:
EARLY HYPERCYANOTIC SPELLS UNRELATED TO DUCTAL CONSTRICTION IN TRICUSPID-ATRESIA WITH INFUNDIBULAR STENOSIS
Autore:
HOLMES G; EPSTEIN ML;
Indirizzi:
UNIV FLORIDA,J HILLIS MILLER HLTH CTR,COLL MED,DEPT PEDIAT,CARDIOL SECT,POB 100296 GAINESVILLE FL 32610 UNIV FLORIDA,COLL MED,DEPT PEDIAT,CARDIOL SECT GAINESVILLE FL 32611
Titolo Testata:
Pediatric cardiology
fascicolo: 3, volume: 14, anno: 1993,
pagine: 151 - 154
SICI:
0172-0643(1993)14:3<151:EHSUTD>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Keywords:
HYPERCYANOTIC SPELLS; TRICUSPID ATRESIA; INFUNDIBULAR STENOSIS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
12
Recensione:
Indirizzi per estratti:
Citazione:
G. Holmes e M.L. Epstein, "EARLY HYPERCYANOTIC SPELLS UNRELATED TO DUCTAL CONSTRICTION IN TRICUSPID-ATRESIA WITH INFUNDIBULAR STENOSIS", Pediatric cardiology, 14(3), 1993, pp. 151-154

Abstract

Clinical, echocardiographic, hemodynamic, and angiographic findings were reviewed in 16 consecutive patients with tricuspid atresia (TA) and normally related great arteries, seen at the University of Florida between 1984 and 1990, to determine when and in which patients hypercyanotic spells (HS), unrelated to ductal constriction, occurred. Such spells developed in six patients (38%) and were life-threatening and refractory to medical management in three patients. Most HS (five of six)occurred in the first 2 months of life. Angiography done at the time of diagnosis revealed similar morphological features in all patients subsequently experiencing HS; infundibular stenosis due to anterior malalignment of the conal septum. These findings suggest a predispositionfor development of early HS in TA patients with apparent infundibularstenosis due to anterior malalignment of the conal septum. Further study and a heightened clinical awareness are needed in such patients.

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Documento generato il 10/04/20 alle ore 01:03:29