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Abstract:

At 246 patients with coarctation of the aorta the ultrasonic semiotics of disease has been investigated. Are systematized echocardiographycal attributes of defect: are determined direct and indirect (displays directly reflecting morphology), the estimation of their sensitivity and specificity is lead. The certain combination of the specified attributes has allowed to allocate three variants of a ultrasonic picture coarctation of the Aorta, reflecting various anatomic forms of defect. The semiotics and diagnostic attributes of each ultrasonic variant of defect is described by echocardiography. 

 

 

Reference 

 

1.     Шиллер Н., Осипов М. А. Клиническая эхокардиография. М. 1993.

2.     Митьков В. В., Сандриков В. А. Клиническое руководство по ультразвуковой диагностике в 5 т. М.: Видар. 1998; 5: 96-297.

3.     Бураковский В. И., Бокерия Л. А. Сердечно-сосудистая  хирургия   (руководство).   М.:   Медицина.1989; 298-310.

4.     Kaine S. E, Smith E. О., Mott A. R. et al. Quantitative echocardiographic analysis of the aortic arch predicts outcome of balloon angioplasty of native coarctation of the aorta. Circulation. 1996;   94 (5): 1056-1062.

5.     Фейгенбаум X. Ультразвуковая диагностика. М.: Медицина. 1999; 1123-1145.

 

 

Abstract:

The systolic pressure gradient at the level of aortic narrowing, determined by non-invasive methods was measured in 110 patients with aortic coarctation and compared with its value in direct measurement before and during various terms after correction of the defect. It was determined that Doppler ultrasonography of arteries of the limbs is the most informative non-invasive method of assessing the degree of narrowing/restoration of the aortic isthmus. Also showed was various informative value of Doppler cardiography as a method aimed at evaluating the efficacy of removing the defect in patients with good, satisfactory and poor therapeutic outcomes. 

 

Reference

 

 

1.     Углов Ф.Г., Некласов Ю.Ф., Герасин В.А. Катетеризация сердца и селективная ангиокардиография. Л., 1974.

 

 

2.     Покровский А.В. Клиническая ангиология. - М.: Медицина, 1979; 63-83.

 

 

3.     Lerberg D. В., Hardesty R. L., Siewers R. D., Zuberbuhler J. R. Coarctation of the aorta in Infants and Children: 25 Years of Experience. Ann. Thorac. Surg. 1982; 33 (2): 159-170.

 

 

4.     Фейгенбаум Х. Ультразвуковая диагностика. М.: Медицина, 1999; 1123-1145.

 

 

5.     Шиллер Н., Осипов М.А. Клиническая эхокардиография. М.: 1993.

 

 

6.     Stephen F.K., et al. Quantitative echo cardiographic analysis of the aortic arch predicts outcome of balloon angioplasty of native coarctation of the aorta. Circulation. 1996; 94: 1056-1062.

 

 

7.      Шахов Б.Е., Рыбинский А.Д., Шарабрин Е.Г. Критерии оценки результатов коррекции коарктации аорты. Нижегород. мед. журнал. 2003; 3: 7-11.

 

8.      Рыбинский А.Д. Отдаленные результаты хирургического лечения коарктации аорты в возрастном аспекте. Дисс. канд. мед. наук. Горький. 1977.

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