Ghidul pentru managementul hipertensiunii arteriale 2007 Grupul ...

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Revista Română de CardiologieVol. XXII, Nr. 3, <strong>2007</strong>C. Zara şi col.Stenoza subaortică fixă prin diafragmTabelul 1. Protocol de examinare ecocardiografică transtoracicăParametru La câţi pacienţi s-a studiat Rezultate Rezultate1. Morfologia obstacolului 21 P 19 P diafragm 1 P doua diafragme1 P valva mitrala accesorie partic2. Dimensiunea TEVS 21 P 20 P normală 2 P TEVS mic3. Gradient obstacol 21 P 10 P >50 mmHg11 P
C. Zara şi col.Stenoza subaortică fixă prin diafragmÎn lotul de pacienţi studiat a existat un număr marede anomalii asociate, în special stenoze seriate ale tractuluide ejecţie al ventriculului stâng.La toţi pacienţii s-au utilizat metode neinvazive dediagnosticare din care rolul cel mai important avându-lecocardiografia transtoracică.BIBLIOGRAFIE1. Maurizio Marasini MD, Lucio Zaunini MD, Robin Pinto MD: Discretesubaortic stenosis: incidence, morfology and surgical impact ofassociated subaortic anomalies, The Annals Thoracic Surgery, 2003;75:1763-1768.2. Turan Arzu Akcay MD et. al.: Sudden Death in Subaortic Fixed Stenosis,American Journal of Forensic Medicine and Pathology, 2006;27:9-29.3. Brauner R, Laks H, Drinkwater DC Jr., Shvarts O, Eghbali K, SalindoA: Benefits of early surgical repair in fixed subaortic stenosis, JACC,1997; 30(7):1835-42.4. Serraf A, Zoghby j, Planche C.: Surgical treatment of subaortic stenosis:a seventeen year experience, Journal Thoracic Cardiovascular Surgery1999; 117(4):669-78.5. Van Son JA, Schaff HV, Danielson GK, Puga FJ: Surgical treatment ofdiscrete and tunnel subaortic stenosis. Late survival and risc of reoperation,Circulation 1993;11:159-69.Revista Română de CardiologieVol. XXII, Nr. 3, <strong>2007</strong>6. Parry A J, Kovalchin JP, Suda K, hanley FL.: Resection of sobaortic stenosis:can a more aggressive approach be justified?, European Journalof Cardiothoracic Surgery 1999; 15 (5): 631-8.7. Cabrera A, Saldeano JM, Zumalde J, Mondragon F, Cabrera J, Pilar J,Pastor E.: Fixed subaortic stenosis: the value of cross-sectional differentanatomical patterns, Int Journal Cardiology 1998; 24(2) 151-7.8. JabangiriM, Nicholson IA, del Nido PJ, Mayer JE, Jonas RA: SurgicalManagement of Complex and tunnel-like subaortic stenosis, EuropeanJournal of Cardiothoracic Surgery, 2000;17(6);637-42.9. Douville EC, Sade RM, Crawford FA Jr, Wiles HB: Subvalvular aorticste nosis: timing of operation, Ann Thorac Surgery. 1990;50(1) 29-33.10. BA Popescu, E Apetrei: Stenoza Aortică Congenitală. In: Boli CardiaceCongenitale, Carmen Ginghină, Eduard Apetrei, Cezar Macarie, Editura Amalteea 2001;75-86.11. Garry D Webb et al.: Congenital Heart Disease. In: Braunwald“s HeartDisease, 2006; 1459-1553.12. Neutze JM, Calder AL, gentiles TL, Wilson NJ: Aortic Stenosis. In:Pediatric Cardiovascular Medicine- Moller and Hoffman, WB Saunders1999; 511-551.13. Leichter DA, Sullivan I, Gersony WM: “Acquired” discrete subvalvularaortic stenosis: Natural history and hemodinamics, JACC,1989;14:1539.14. BA Popescu, I Ghiorghiu, E Apetrei, C Ginghină: Subaortic stenosispro duced by an accesory mitral valve: role of echocardiography, Eco car -diography: A Journal of CV Ultrasound and Allied Tech, 2005; 39-41.15. AM Ciliers and M. Gewillig: Rheology of discrete subaortic stenosis.In: Heart 2002;88; 335-336.
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