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At least 19 recordsLinked to original sources

[Surgical topography of the membranous part of the interventricular heart septum].

An investigation of the membranous part of the interventricular septum of the heart during operations and an autopsy material has shown the shape and size of this structure of the heart to be variable and to have complex interrelations with many components of the heart. The ventricular portion of this part of the septum is always covered in some extent with chordae, threads of the tricuspid valve and its anterioseptal commissure. The atriotomic access may be an alternative to the surgical access via the right ventricle, but in this case it is necessary to dissect or cut off the septal cusp from the valve.

Animals↗

[A new surgical approach to the membranous heart septum and a method for eliminating its defect by a closed procedure].

On the basis of an analysis of the operative wound parameters carried out in significant autopsy material it is concluded that longitudinal median sternotomy and anterolateral thoracotomy in the third intercostal right space permit reaching the upper edge of the membranous septum of the heart using the new para-aortal access. This access allows to place a suture around the septum without opening the heart cavities by the closed method which is an alternative to the open correction of the interventricular septum defect in this ares. In clinical conditions the defect of interventricular septum was completely sutured in 3 patients, partially--in 2 patients, was not sutured in 1. In one patient only on of two interventricular septum defects was closed.

Adolescent↗

[Changes of the interventricular heart septum in various forms of cardiomyopathy].

A pathomorphological study included hearts of 52 patients who died of various forms of cardiomyopathy, 10 hearts of subjects who died of chance causes (control) and 30 hearts in 3 groups of comparison for revealing changes in the interventricular septum in the dilatation, hypertrophic and restrictive forms of cardiomyopathy. Use was made of postmortem coronarography and cardioventriculography, the WHO standard anatomical method, histological and histochemical methods and separate weighing of cardiac portions. A complicated structure of the interventricular septum pathognomonic for each form of cardiomyopathy was revealed which had an influence on the intracardiac hemodynamics.

Adult↗

[Clinico-pathomorphologic evaluation of changes of the interventricular heart septum in hypertrophic cardiomyopathy].

A complex study was made of 20 hearts from patients who had died from hypertrophic cardiomyopathy and 20 matched control hearts with a view to detecting changes of the ventricular septum and to ascertaining the significance of echocardiographic diagnostic information. Postmortem cardioventriculography, coronarography, volume-mass and planimetric cardiometry, target histopographic techniques, were applied. Various ventricular septum hypertrophies, such as even, midventricular, wave-line, midapical and apical, were identified. A complete coincidence was found between the cardiographic and pathomorphological diagnostic findings in 6 (30%) cases, a partial one was seen in 7 (35%), and incoincidence was also observed in 7 (35%) cases. The paper provides the major factors underlying echopathomorphological dissociations.

Adult↗

[The clinico-morphological assessment of the changes in the interventricular heart septum in cardiomyopathy].

A morphological study is presented of 120 hearts of those dying from different forms of cardiomyopathy. Postmortal coronarography, cardioventriculography, histological, histotopographic, volume-weight, and planimetric cardiometry, echocardiographic and pathomorphological methods were used. The interventricular septum showed a complicated construction pathognomonic for each form of cardiomyopathy. Echocardiographic and pathomorphological findings coincided completely in 43.3%, partially in 28.3% and were controversial in 23.3%.

Adult↗