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Ventnricular Septal Defect with Septal Aneurysm.

Journal of the Korean Pediatric Society 1987;30(7):742-748.
Published online July 31, 1987.
Ventnricular Septal Defect with Septal Aneurysm.
Hae Woon Chang, Chul Woo Ku, Sang Bum Lee, Doo Hong Ahn
Department of Pediatrics, College of Medicine, Kyung Pook National University, Taegu, Korea
중격류가 동반된 심실중격 결손증의 임상적 관찰
장해운, 고철우, 이 상범, 안두홍
경북대학교 의과대학 소아과학교실
Clinical and hemodynamic data were evaluated and analyzed in 31 cases of ventricular septal defect with septal aneurysm which were confirmed by 2-D echocardiography and left ventriculography at Kyungpook National University Hospital during the period of one year from June, 1985 to June, 1986 Septal aneurysms were found in 31 (41.9%) of 74 cases of total VSD (30 cases in membranous VSD and one case in A-V canal type VSD) and in 54.5% among membranous VSD. The youngest age when septal aneurysm was detected was 15 months. The incidence was highest in VSD patients over 10 years of age without any significant difference in incidence between male and female. There were 10 cases (32.3%) of ventricular hypertrophy with EKG, 1 case (3.2%) of cardiomegaly and 3 cases (9.7%) of increased pulmonary vascularity with chest X-ray. Qp/Qs in cases with septal aneurysm was significantly smaller than in those cases without septal aneurysm (p<0.05) and there was decrease in Qp/Qs (p<0.01) and Pp/Ps (p<0.05) without any significant difference in Rp/Rs by increasing age. The detection rate of the septal aneurysm by 2-D echocardiography was 91.3% in comparison with the previous golden standard study, left ventriculography.
Key Words: Septal aneurysm, VSD.

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