[Echocardiography in the diagnosis of left ventricular-right atrial communications. Apropos of 10 cases].
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Biomedical subjects
Publications and source records attributed to C Piot.
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The association of a left-right shunt with obstruction to the pulmonary venous return must not be ignored. Failure to recognise this may be fatal post-operatively. We have described here what we believe to be a new cause of supra-mitral obstruction: an abnormal left superior vena cava. The echocardiogram was essential in the diagnosis, and allowed us to establish, after surgical correction, that all abnormalities of the left auricle had disappeared.
A relationship between ischaemia of the myocardium and a muscular bridge over the anterios descending artery has now been demonstrated. The authors report three cases in which the severity of the clinical features was sufficient to justify surgical division of the muscular bridge without touching the underlying artery. Progress remained satisfactory after a follow-up period of 1.5 to 3 years. The opportunity is taken to discuss the role of the muscle bridge in causing pathology in the coronary arterial system.
Report of the case of a 26-year-old male patient, presenting with left-sided thoracic pains combined with electrocardiographic changes. Coronary arteriography demonstrated the presence, during systole, of a long, semi-localized stenosis of the anterior interventricular artery. Operation consisted only in the section of the myocardial bridge enclosing the artery on 4 cm. The clinical and coronary arteriographic result was perfect. No report of a similar case could be found in the literature.
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