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ID 38012
本文ファイル
著者
Matsuura, Yuichiro
Ishihara, Hiroshi
Hamanaka, Yoshiharu
Shikata, Hiroo
Nakashima, Yasushi
Hayashi, Saiho
Nakagawa, Hiroshi
Kawagoe, Takuji
Tsuchioka, Yukiko
Okamoto, Mitsushi
キーワード
WPW syndrome
Infective endocarditis
Myocardial bridging
NDC
医学
抄録(英)
During the past 28 months, 16 cases of WPW syndrome were operated on at Hiroshima University Hospital. Two cases were complicated by other cardiac disorders which accelerated tachycardia, making diagnosis difficult. One of these cases showed serious mitral regurgitation, due to infective endocarditis and the patient suffered cardiac failure accompanied by paroxysmal tachycardia not responsive to medical therapy or cardioversion. A complex rhythm with atrial fibrillation and antegrade conduction rhythm through the accessory pathway made diagnosis and therapy quite difficult. The condition of the other patient was associated with myocardial bridging which caused angina pectoris during paroxysmal tachycardia. Myocardial scintigraphy showed myocardial ischemia in the antero-lateral area of the left ventricle. In the former case, mitral valve replacement and interruption of the accessory pathway were undergone simultaneously. In the latter case, myotomy of the muscle on segment 7 was conducted, following interruption of the accessory pathway.
掲載誌名
Hiroshima Journal of Medical Sciences
40巻
1号
開始ページ
47
終了ページ
51
出版年月日
1991-03
出版者
Hiroshima University Medical Press
ISSN
0018-2052
NCID
PubMedID
言語
英語
NII資源タイプ
紀要論文
広大資料タイプ
学内刊行物(紀要等)
DCMIタイプ
text
フォーマット
application/pdf
著者版フラグ
publisher
部局名
医歯薬学総合研究科
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