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Associated coarctation of the aorta and mitral valve disease: nine cases with surgical correction of both lesions in three.
J Pediatr ; 87(2): 217-20, 1975 Aug.
Article em En | MEDLINE | ID: mdl-125322
Nine cases of the combination of coarctation of the aorta and mitral stenosis were evaluated over a seven-year period. Symptoms did not usually cause distress in infancy, but began subtly with pneumonia or cardiac failure at about 2 years of age. Important clues were differences in blood pressure between the arms and legs, paroxysmal dyspnea, congestive heart failure, right ventricular hypertrophy, and left atrial enlargement. Cardiac catheterization studies showed elevated right ventricular and main pulmonary artery wedge pressures. These features in patients with coarctation of the aorta should suggest associated mitral valve disease. The importance of demonstrating associated valvular lesions, particularly mitral stenosis, is emphasized. Two of our children had successful repair of the coarctation of the aorta and mitral stenosis simultaneously. In a third child, resection of the coarctation was followed in six years by mitral valve replacement.
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Coartação Aórtica / Estenose da Valva Mitral Tipo de estudo: Diagnostic_studies / Etiology_studies / Risk_factors_studies Limite: Child / Child, preschool / Humans / Infant / Newborn Idioma: En Revista: J Pediatr Ano de publicação: 1975 Tipo de documento: Article País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Coartação Aórtica / Estenose da Valva Mitral Tipo de estudo: Diagnostic_studies / Etiology_studies / Risk_factors_studies Limite: Child / Child, preschool / Humans / Infant / Newborn Idioma: En Revista: J Pediatr Ano de publicação: 1975 Tipo de documento: Article País de publicação: Estados Unidos