Objective:Toelucidatethe differentclinicalfeaturesbetween adultsand children with congenitalcardiac diverticulum- Methods:The clinicalcharacteristicofpatients with congenitalcardiacdiverticulum confirmed by ventriculo...
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Objective:Toelucidatethe differentclinicalfeaturesbetween adultsand children with congenitalcardiac diverticulum- Methods:The clinicalcharacteristicofpatients with congenitalcardiacdiverticulum confirmed by ventriculograpyhyorsurgicaloperationin nine casesinourhospitalwereanalyzedretrospectively-Fourcaseswereadultswith a mean ageof59-3±7-6 years(50～68 years);and5 were children ofage6-5±4-4years(2-5～14 years)- Results: ①Four adults with the left ventricular diverticulum were allincidentally discovered and confirmed by left ventriculography for differential diagnosis- Five children were confirmedin corrected operationforotherseverecongenitalheart malformation- ②The averagediameterof the diverticulum were36-3±11-8 mm (20～48 mm) andthe neck of diverticulum were14-0 ±2-9 mm (10～17 mm) in 4 adults;while the average diameterofthediverticulum were42-0 ±22-0 mm (25 ～80 mm) and the neck ofdiverticulum were 8-6 ±3-9 mm (4 ～12 mm) in 5 children- ③Alladult patients had isolated left ventricular muscular diverticulum with no related complications thus did not been operated- All children,1 with isolateralleft ventricular muscular diverticulum , with bioverticular muscular diverticulum ,2 with right ventricular muscular diverticulum ,and 1 withleftatrialfibrous diverticulum ,underwentsurgicaloperationsuch assuturationofthediverticulum andrepairing ofatrialor verticularseptum ,valvuloplastyoftricuspid valve,replacementof mitralvalve orligation ofartery duct,accordingtothetypes of congenital heart anomales- Conclusion:There are many differentclinicalfeaturesbetweenadults (olderand middle) and children with congenitalcardiacdiverticulum-
Objective:To evaluatethe efficacy and safety ofcoronary angioplastyforchronictotalocclusion (CTO, > 3 months)- Methods: Until Jury 20 ,1999 ,coronary angioplasty was performed in ourinstitute for 1 655 patients- Th...
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Objective:To evaluatethe efficacy and safety ofcoronary angioplastyforchronictotalocclusion (CTO, > 3 months)- Methods: Until Jury 20 ,1999 ,coronary angioplasty was performed in ourinstitute for 1 655 patients- The study was based on retrospective analysis of235 patients (14-2 % ) with CTO- 56-6% (133/235) ofthese patients weretriedto canalize withfloppy wires,34-0% (80/235) with intermediate wires,9-4 % (22/235) with standard stiffness wires- Stents weereimplantedfor 114 patients- Results:One hundred thirty two patients with single vessel disease,78 patients with double vessel diseases,25 patients with triple vessel diseases wereincludedinthisstudy- Targetlesions of CTO(248) were asfollowing:113 in LAD,86 in RCA,48 in LCX,1 in Ramus- 34 cases failed- 21 casesfailed for CTObutsuccessfulfor otherlesions,successrateforthe whole group was 76-6 % (180/235)- In hospital complications included 3 patients with in stentthrombosis,4 patients with coronary artery perforation ,8 patients with abrupt occlusion- There was no death or emergency CABG- Atfollow up,angiography wasrepeatedly performedfor25 patients- Nine patients hadrestenosisafterPTCA,11 patients within stentrestenosis,restenosisrate was 11-1 % (20/180)- Five patients had no sign ofrestenosis- Conclusion : With carefulcaseselection,the currenttools andtechniques couldresultin highersuccessrate withlower complicationforpatients with CTO-
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