Two-dimensional echocardiography of Lutembacher's syndrome.
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Biomedical subjects
Publications and source records attributed to L Sassé.
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A 54-year-old housewife with pulmonary atresia and ventricular septal defect developed increasing cyanosis, dyspnea, weakness, and myocardial ischemia. Initial cardiac catheterizations with angiography, including subtraction techniques, did not definitely indicate main pulmonary artery or right or left pulmonary arteries that would make her amenable to currently available surgical correction. Single-crystal suprasternal notch echocardiography indicated the presence of a small but definite right pulmonary artery. She subsequently underwent first-stage surgical correction after angiography and selective catheterization of aortopulmonary shunt vessels, which also revealed the presence of small proximal pulmonary arteries.
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The echocardiographic findings in two patients with type A Wolff-Parkinson-White syndrome with pre-excitation localized at the anterior left ventricular wall are reported. The M-mode echocardiogram demonstrated premature anterior systolic motion of the postero-basal left ventricular endocardium that preceded the normal systolic contraction of the left ventricle. Despite the fact that the bundle of Kent reaches the epicardium of the left ventricular wall and that ventricular contraction probably begins at the subepicardial surface, the echocardiographic observations of the premature contractions were limited to the subendocardial layers.