Document Detail

Right coronary-left ventricular fistula mimicking aortic valve insufficiency in infancy.
MedLine Citation:
PMID:  7300410     Owner:  NLM     Status:  MEDLINE    
Two infants had large communications between the right coronary artery just distal to its origin and the cavity of the left ventricle. The findings were essentially those of aortic insufficiency. In the first patient operation was delayed until there was secondary aortic insufficiency resulting from dilatation of the aortic root. The second patient was operated upon in infancy, and abolition of the fistula has relieved the clinical situation. Surgeons should recognize that isolated congenital aortic valve insufficiency has not been reported to our knowledge. Therefore, infants who appear to have this condition should undergo thorough angiographic studies which likely will reveal a remediable situation. A surgical approach for the type of fistula described herein is presented.
A R Dobell; R W Long
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  82     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1981 Nov 
Date Detail:
Created Date:  1982-01-09     Completed Date:  1982-01-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  785-9     Citation Subset:  AIM; IM    
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MeSH Terms
Aortic Valve Insufficiency / diagnosis*,  surgery
Child, Preschool
Coronary Vessel Anomalies / diagnosis,  surgery*
Diagnosis, Differential
Fistula / diagnosis,  surgery*
Heart Catheterization
Heart Sounds
Heart Valve Prosthesis
Heart Ventricles / surgery*
Infant, Newborn
Postoperative Complications / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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