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Titolo:
Antegrade flow in the ascending aorta despite aortic atresia: a propos of two cases with retrograde coronary perfusion through sinosuids and fistulas
Autore:
Jux, C; Kaulitz, R; von Wasielewski, R; Peuster, M; Fink, C; Paul, T; Hausdorf, G;
Indirizzi:
Med Hsch Hannover, Abt Padiatr Kardiol & Padiatr Intensivmed, D-30627 Hannover, Germany Med Hsch Hannover Hannover Germany D-30627 ed, D-30627 Hannover, Germany Med Hsch Hannover, Inst Pathol, D-30627 Hannover, Germany Med Hsch Hannover Hannover Germany D-30627 ol, D-30627 Hannover, Germany
Titolo Testata:
ZEITSCHRIFT FUR KARDIOLOGIE
fascicolo: 6, volume: 89, anno: 2000,
pagine: 502 - 507
SICI:
0300-5860(200006)89:6<502:AFITAA>2.0.ZU;2-8
Fonte:
ISI
Lingua:
GER
Soggetto:
LEFT HEART SYNDROME; ARTERY FISTULAS;
Keywords:
aortic atresia; myocardial sinusoids; coronary fistulas;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Jux, C Med Hsch Hannover, Abt Padiatr Kardiol & Padiatr Intensivmed, Carl NeubergStr 1, D-30627 Hannover, Germany Med Hsch Hannover Carl Neuberg Str 1 Hannover Germany D-30627 many
Citazione:
C. Jux et al., "Antegrade flow in the ascending aorta despite aortic atresia: a propos of two cases with retrograde coronary perfusion through sinosuids and fistulas", Z KARDIOL, 89(6), 2000, pp. 502-507

Abstract

In aortic atresia, coronary perfusion normally occurs through retrograde blood flow in the ascending aorta. We report on two patients with antegrade flow in the ascending aorta despite aortic atresia. In one patient with hypoplastic left heart syndrome (aortic atresia, severe mitral stenosis), an intact interatrial septum/premature closure of the foramen ovale was found. While no other way of left atrial or ventricular decompression was found, echocardiography, angiography and the post-mortem examination showed left ventricular to coronary sinusoids as the sole pathway for systemic oxygenation. In a second patient with complex congenital heart disease, including aortic atresia, antegrade flow in the ascending aorta was through a left coronary fistula with shunt flow originating from the pulmonary trunc. This report describes systemic perfusion depending on retrograde coronary flow due to coronary-cameral (sinusoids) and coronary arterio-venous fistulas leading to the phenomenon of antegrade blood flow in the ascending aortadespite aortic atresia.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/09/20 alle ore 01:30:12