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Predicate | Object |
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rdf:type | |
lifeskim:mentions |
umls-concept:C0003956,
umls-concept:C0013524,
umls-concept:C0016169,
umls-concept:C0034606,
umls-concept:C0043240,
umls-concept:C0225844,
umls-concept:C0259832,
umls-concept:C0374711,
umls-concept:C0441633,
umls-concept:C0546911,
umls-concept:C1441526,
umls-concept:C1510412,
umls-concept:C1705181,
umls-concept:C1880157
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pubmed:issue |
1
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pubmed:dateCreated |
1994-6-15
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pubmed:abstractText |
A 57-year-old Japanese man presented with symptoms of congestive heart failure 9 years after aortic valve replacement. On auscultation, a continuous murmur was heard at the left lower sternal border. Chest radiograph showed moderate cardiomegaly and a widened upper mediastinum. Computed tomographic scans showed a dilated ascending aorta, in which there was no intimal flap, and also showed a large mass which compressed the right atrium. Two-dimensional Doppler echocardiography revealed abnormal continuous blood flow directed from the dilated ascending aorta to the right atrium and no periprosthetic leak. At operation, a false aneurysm of the ascending aorta which originated from the aortotomy suture line and a fistula from the aorta to the right atrium were confirmed. The fistula was closed with pledgeted sutures, and the ascending aorta was replaced with a collagen-coated double woven velour dacron graft. The patient recovered uneventfully. Computed tomographic scan and two-dimensional echocardiography are complementary techniques for reliable non-invasive assessment of the complexity of an aortic aneurysm.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0171-6425
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
42
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
58-60
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:8184397-Aneurysm, False,
pubmed-meshheading:8184397-Aortic Aneurysm,
pubmed-meshheading:8184397-Aortic Diseases,
pubmed-meshheading:8184397-Aortic Valve,
pubmed-meshheading:8184397-Blood Vessel Prosthesis,
pubmed-meshheading:8184397-Echocardiography,
pubmed-meshheading:8184397-Fistula,
pubmed-meshheading:8184397-Heart Atria,
pubmed-meshheading:8184397-Heart Diseases,
pubmed-meshheading:8184397-Heart Valve Prosthesis,
pubmed-meshheading:8184397-Humans,
pubmed-meshheading:8184397-Male,
pubmed-meshheading:8184397-Middle Aged,
pubmed-meshheading:8184397-Postoperative Complications,
pubmed-meshheading:8184397-Tomography, X-Ray Computed
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pubmed:year |
1994
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pubmed:articleTitle |
False aneurysm of the ascending aorta with fistula to the right atrium. Noninvasive diagnosis by computed tomographic scan and two-dimensional echocardiography with successful repair.
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pubmed:affiliation |
Second Department of Surgery, Kurume University School of Medicine, Japan.
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pubmed:publicationType |
Journal Article,
Case Reports
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