Diagnosis of the anatomic types of single or common ventricle
Identifieur interne : 005536 ( Main/Exploration ); précédent : 005535; suivant : 005537Diagnosis of the anatomic types of single or common ventricle
Auteurs : Richard Van Praagh [Canada, États-Unis] ; Stella Van Praagh [Canada, États-Unis] ; Peter Vlad [Canada, États-Unis] ; John D. Keith [Canada, États-Unis]Source :
- The American Journal of Cardiology [ 0002-9149 ] ; 1965.
Abstract
The present report seeks to determine whether or not one can accurately diagnose the various anatomic types of single ventricle by clinical and laboratory methods.The history, physical examination, chest roentgenograms and electrocardiogram usually were diagnostically nonspecific. Despite its lack of specificity, the electrocardiogram in single left ventricle with an infundibular outlet chamber usually could be understood in terms of the type of bulboventricular loop which was present.Cardiac catheterization often provided the first clue to the presence of a single ventricle: a large left to right shunt at the ventricular level, despite systemic pressure in the “right” ventricle; and an extraordinarily wide range of oxygen content from different sites in the ventricle, and even from the same site.Selective ventricular angiocardiography is the diagnostic method of choice. Two groups can be distinguished: (1) single ventricle with an outlet chamber, and (2) single ventricle without an outlet chamber.Those with an outlet chamber have absence of the right ventricular sinus (inflow tract). This results in a single left ventricle with an infundibular outlet chamber, the relatively frequent type of single ventricle (79% of this series).
Url:
DOI: 10.1016/0002-9149(65)90329-2
Affiliations:
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Keith</name><affiliation wicri:level="4"><country xml:lang="fr">Canada</country><wicri:regionArea>From the Department of Pediatrics, University of Toronto, and the Research Institute of The Hospital for Sick Children, Toronto</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="3"><country>États-Unis</country><placeName><settlement type="city">New York</settlement><region type="state">État de New York</region></placeName><wicri:orgArea>The Children's Hospital of Buffalo and the Department of Pediatrics, School of Medicine, State University of New York at Buffalo Buffalo</wicri:orgArea></affiliation></author></analytic><monogr></monogr><series><title level="j">The American Journal of Cardiology</title><title level="j" type="abbrev">AJC</title><idno type="ISSN">0002-9149</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1965">1965</date><biblScope unit="volume">15</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="345">345</biblScope><biblScope unit="page" to="366">366</biblScope></imprint><idno type="ISSN">0002-9149</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0002-9149</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The present report seeks to determine whether or not one can accurately diagnose the various anatomic types of single ventricle by clinical and laboratory methods.The history, physical examination, chest roentgenograms and electrocardiogram usually were diagnostically nonspecific. Despite its lack of specificity, the electrocardiogram in single left ventricle with an infundibular outlet chamber usually could be understood in terms of the type of bulboventricular loop which was present.Cardiac catheterization often provided the first clue to the presence of a single ventricle: a large left to right shunt at the ventricular level, despite systemic pressure in the “right” ventricle; and an extraordinarily wide range of oxygen content from different sites in the ventricle, and even from the same site.Selective ventricular angiocardiography is the diagnostic method of choice. Two groups can be distinguished: (1) single ventricle with an outlet chamber, and (2) single ventricle without an outlet chamber.Those with an outlet chamber have absence of the right ventricular sinus (inflow tract). This results in a single left ventricle with an infundibular outlet chamber, the relatively frequent type of single ventricle (79% of this series).</div></front></TEI><affiliations><list><country><li>Canada</li><li>États-Unis</li></country><region><li>Iowa</li><li>Ontario</li><li>État de New York</li></region><settlement><li>New York</li><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><region name="Ontario"><name sortKey="Van Praagh, Richard" sort="Van Praagh, Richard" uniqKey="Van Praagh R" first="Richard" last="Van Praagh">Richard Van Praagh</name></region><name sortKey="Keith, John D" sort="Keith, John D" uniqKey="Keith J" first="John D." last="Keith">John D. Keith</name><name sortKey="Van Praagh, Stella" sort="Van Praagh, Stella" uniqKey="Van Praagh S" first="Stella" last="Van Praagh">Stella Van Praagh</name><name sortKey="Vlad, Peter" sort="Vlad, Peter" uniqKey="Vlad P" first="Peter" last="Vlad">Peter Vlad</name></country><country name="États-Unis"><region name="État de New York"><name sortKey="Van Praagh, Richard" sort="Van Praagh, Richard" uniqKey="Van Praagh R" first="Richard" last="Van Praagh">Richard Van Praagh</name></region><name sortKey="Keith, John D" sort="Keith, John D" uniqKey="Keith J" first="John D." last="Keith">John D. Keith</name><name sortKey="Van Praagh, Stella" sort="Van Praagh, Stella" uniqKey="Van Praagh S" first="Stella" last="Van Praagh">Stella Van Praagh</name><name sortKey="Vlad, Peter" sort="Vlad, Peter" uniqKey="Vlad P" first="Peter" last="Vlad">Peter Vlad</name><name sortKey="Vlad, Peter" sort="Vlad, Peter" uniqKey="Vlad P" first="Peter" last="Vlad">Peter Vlad</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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