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By E. Awtry, et al.,

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Infantile Type Associated with hypoplasia of the aortic isthmus (a diffuse narrowing of the aorta between the left subclavian artery and duct), this was called ‘preductal’ coarctation. Presentation occurs in the first month of life, with heart failure and associated lesions, which are extremely common. 9). The obstruction develops gradually and presentation is commonly between the ages of 15 and 30 years with complications. Associated cardiac lesions are much less common than with the infantile type, apart from a bicuspid aortic valve.

AF, carotid disease or any thrombus in the pelvic veins or IVC). PFO and Migraine Interest in closing PFOs increased when it was noted that the presence of a PFO was often associated with migraine. With the possibility that right-to-left shunting of microemboli or vasoactive substances might be causing migraine the MIST (Migraine Intervention with Starflex Technology) trial was designed. The Starflex closure device did not reduce the number of patients whose headaches were completely abolished but did seem to reduce the overall headache burden (migraine days).

Cardiomegaly and enlargement of the PA conus are not as great as in ASD, except in infants with big shunts. The second sound in very small VSDs is normal. A2 is obscured by the pansystolic murmur of larger defects, and with equal ventricular pressures S2 is single. Spontaneous Closure This occurs in 30–50% of VSDs. It is common in muscular defects, or defects of the membranous septum. It does not occur in defects adjacent to valves, infundibular (supracristal) defects, AV canal-type defects or malalignment defects.

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Cardiology [Blueprints - Notes and Cases] by E. Awtry, et al.,


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