[Rashkind's atrial septostomy in newborn infants. Evaluation of 47 operations].
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Biomedical subjects
Publications and source records attributed to A M Worms.
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Agenesia of the pulmonary valves is often responsible for severe disorders of ventilation by bronchial compression in newborns. This may be involved in case of respiratory distress, with a double murmur, expressing the stenosis of an avalvulated pulmonary ring and the massive pulmonary regurgitation. The bad tolerance is due to the association with an interventricular dilatation of the pulmonary artery, which characterizes this malformative complex. The prognosis is severe and the treatment is disappointing since all surgical attempts failed at this age.
Fistulas between a systemic artery arising from the aorta and the pulmonary vein with absence of a branch of the pulmonary artery and without abnormality of the bronchial tree are very seldom. We report the case of a child which had a continuous vascular murmur with heart failure secondary to a left-left shunt. A left inferior lobectomy was performed. The inferior lobe was the site of a huge arterio-venous fistula between an artery arising, from the aorta and the pulmonary veins.
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