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By Jim Mesko

Armor in Korea. A Pictorial background КНИГИ ;ВОЕННАЯ ИСТОРИЯ Издательство: Squadron SignalСерия: Squadron sign 6038Язык: английский Страниц: 84Формат: pdf Размер: 7.42 Мб ifolder.ru eighty five

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He had been cyanotic and died of longstanding congestive heart failure due to severe pulmonary hypertension. Autopsy revealed only mild prolapse of the aortic valve in spite of the presence of poor aortic support from below with a denuded sinus of Valsalva wall. In addition to this, the patient had a bicuspid aortic valve due to low coronary commissure, wh ich is very rare in cases of simple punched-hole IVSD. However, if it coexists in this type of VSD, the early occurrence of prolapsing AR can be expected: The youngest patient in the present series, who developed AR at 4 years of age, had this combination.

K. 4 % pu Imonie va lvc erista supravcnt. lrieuspid va lvc AV canal Muscular ombined : 10. 9% Fig. 1. Anatomie types of VSD The age and sex distribution of VSD are show in Table 3. The male to female ratio was 1. 7: 1. There was no significant increase in the malelfemale ratio with age. 8% of all VSD patients operated. Table 3. 7 470 125 46 4 1 646 Male Female 300 170 72 S3 28 4 1 405 Table 4 shows the relationship between age and type of VSD. OS). Table 4. 4"70) 2 (50%) 1 464 470 125 46 1 1 646 Ventricular septal defect with aortic regurgitation 55 The sex ratio in relation to age in VSD is shown in Table 5.

2, No. 2 (1986). 24 M. Ando and A. Takao Table 1. VSD with prolapsing aortic valve. Subgrouping according to complications and salient c1inical profiles Cause of death Surgical Medical No. of cases Male Female Age range (median) Prolapsed AoV 32 16 14 1 mo - 14 yrs (3 yrs) 20 12 (CHF) Prolapsed AoV + AR 20 11 9 4 yrs - 34 yrs (16 yrs) 19 1 (IE) 9 6 3 13 yrs - 60 yrs (25 yrs) 3 6 (rupture, IE) 61 33 26 42 19 Valsalva aneurysm Total Numbers in each column shows number of patients observed mortem examination.

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