Source:http://linkedlifedata.com/resource/pubmed/id/15966593
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2005-6-21
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pubmed:abstractText |
The authors report the results of surgical treatment completed by interventional catheterisation of occlusion of the left pulmonary artery by extension of ductal tissue. Since 2001, 7 patients operated for occlusive coarctation of the left pulmonary artery at an average age of 11 months (3 to 37 months) had a restenosis. The cardiac malformation was pulmonary atresia with ventricular septal defect (N=4), tetralofy of Fallot (N=2) and critical pulmonary valvular stenosis (N=1). Pulmonary artery surgery consisted of resection anastomosis in 4 cases and a plasty in 3 cases. A primary angioplasty was performed 5 to 170 months (median 12 months) later, at an average age and weight of 3.4 years (0.7 to 16.9 years) and 14 Kg (8 to 52 Kg) with implantation of 3 stents. The median diameter increased from 5 mm (1 to 9 mm) to 10 mm (6 to 16 mm). Tc-99m scintigraphy showed an increase in mean left pulmonary perfusion from 9% (6 to 28%) to 28% (18 to 42%). Secondarily, 3 repeat angioplasties were necessary with a total of 6 stents implanted in 7 patients. After an average of 2.9 years (0.8 to 6.3 years) follow-up, the patients were asymptomatic with normal right ventricular pressures and a mean left pulmonary perfusion of 33% (24 to 45%). The authors conclude that the treatment of left pulmonary occlusion by coarctation requires a medico-surgical approach in which angioplasty and stenting complete successfully the surgical revascularisation.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0003-9683
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
98
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
455-60
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pubmed:dateRevised |
2009-2-13
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pubmed:meshHeading |
pubmed-meshheading:15966593-Adult,
pubmed-meshheading:15966593-Anastomosis, Surgical,
pubmed-meshheading:15966593-Angioplasty,
pubmed-meshheading:15966593-Arterial Occlusive Diseases,
pubmed-meshheading:15966593-Child,
pubmed-meshheading:15966593-Child, Preschool,
pubmed-meshheading:15966593-Female,
pubmed-meshheading:15966593-Humans,
pubmed-meshheading:15966593-Male,
pubmed-meshheading:15966593-Pulmonary Artery,
pubmed-meshheading:15966593-Pulmonary Valve Stenosis,
pubmed-meshheading:15966593-Treatment Outcome
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pubmed:year |
2005
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pubmed:articleTitle |
[Medico-surgical treatment of occlusion of the left pulmonary artery by extension of ductal tissue (pulmonary coarctation)].
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pubmed:affiliation |
Cardiologie pédiatrique, département de cardiologie, hôpital d'enfants de la Timone, Marseille. alain.fraisse@ap-hm.fr
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pubmed:publicationType |
Journal Article,
Clinical Trial,
English Abstract
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