PMID- 8138685
OWN - NLM
STAT- MEDLINE
DCOM- 19940426
LR  - 20110727
IS  - 0369-4739 (Print)
IS  - 0369-4739 (Linking)
VI  - 42
IP  - 2
DP  - 1994 Feb
TI  - [Surgical treatment of incomplete endocardial cushion defect in elderly 
      patients].
PG  - 194-7
AB  - We experienced 5 surgical cases of incomplete endocardial cushion defect who were 
      50 years old or older. Preoperatively, 3 cases were in New York Heart Association 
      (NYHA) class II and 2 in class III. Catheterization study showed that systolic 
      pulmonary arterial pressure was 24 to 48 (average; 38) mmHg and 
      pulmonary-to-systemic flow ratio was 3.4 to 8.1 (average; 5.2). Left 
      ventriculography showed mitral valve regurgitation (grade I-1 cases, grade II-3, 
      grade III-1) with cleft and goose neck sign in all cases. Single atrium and 
      patent foramen ovalis were associated in each one case. At operation, suture of 
      mitral cleft and patch closure of ostium primum defect from mitral valve side 
      were performed. Postoperatively, NYHA class, cardiomegaly, pulmonary arterial 
      pressure and mitral regurgitation improved remarkably in all patients. During the 
      follow-up period from 18 to 126 months (average; 57), right bundle branch block 
      and supraventricular arrhythmia in electrocardiogram disappeared in 3 of 4 and 4 
      of 5 cases, respectively. Surgical treatment and postoperative course of 
      incomplete ECD were reviewed in over-50-year-old patients, in reference to 17 
      surgical cases in Japan.
FAU - Sugimoto, T
AU  - Sugimoto T
AD  - Division of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji, 
      Japan.
FAU - Ogawa, K
AU  - Ogawa K
FAU - Asada, T
AU  - Asada T
FAU - Mukohara, N
AU  - Mukohara N
FAU - Higami, T
AU  - Higami T
FAU - Obo, H
AU  - Obo H
FAU - Kawamura, T
AU  - Kawamura T
LA  - jpn
PT  - English Abstract
PT  - Journal Article
PL  - Japan
TA  - Nihon Kyobu Geka Gakkai Zasshi
JT  - [Zasshi] [Journal]. Nihon Kyobu Geka Gakkai
JID - 19130180R
SB  - IM
MH  - Electrocardiography
MH  - Endocardial Cushion Defects/complications/*surgery
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/surgery
MH  - Mitral Valve Insufficiency/etiology/surgery
EDAT- 1994/02/01 00:00
MHDA- 1994/02/01 00:01
CRDT- 1994/02/01 00:00
PHST- 1994/02/01 00:00 [pubmed]
PHST- 1994/02/01 00:01 [medline]
PHST- 1994/02/01 00:00 [entrez]
PST - ppublish
SO  - Nihon Kyobu Geka Gakkai Zasshi. 1994 Feb;42(2):194-7.