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Innate vices of the heart
The cathedra of the faculty and hospital surgery of the treatment faculty of the Tashkent medical academy
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Classification of the IVH
The first group — the vices of the heart with the intracardiac pathologic connections, conditioned the unset of the arterial blood into the venous riverbed (from the left to the right, primary pallor) — defect of the intraventricle septum, open arterial duct, aorto-pulponary fistula, mitral stenosis with the defect of the intraatrial septum. The second group — the vices with the intracardiac pathologic connections, conditioned the unset of the venous blood into the arterial riverbed (from the right to the left, primary blue) — Fallo’s triad, tetrad and pentad, atresy of the tricuspid valve to the side of the right ventricle with the defect of the intraatrial septum, transposition of the main vessels. The third group — innate vices of the heart, at which the defeats of the blood circulation created with the narrowing of the main vessels of the heart: isolated stenosis of the pulmonary artery, stenosis of the aorta’s mouth, coarctation of the aorta.
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IVH Fallo’s tetrad Cardiac hunch
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Special methods of research
echocardiography X-ray CT NMT Probing of the cardiac cavities angiocardiography
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Methods of research Isotope diagnostic Echocardiography
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Catheters for probing of the heart
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Probing of the right parts of the heart
Angiocardiography
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Left ventriculography
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Left ventriculography
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Aortography Open arterial duct
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Open arterial duct fast weakness
shortness of breath, increasing at the effort heartbeat reducing in the physical development frequently pneumonias pallor skin cyanosis of the lower half of the body at the exerting
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Bandaging of the Botall’s duct
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Sewing of the Botall’s duct with the SLR
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Catheters for the embolization
of the Botall’s duct
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Embolization of the OAD
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Defect of the intraventricle septum
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Defect of the intraventricle septum
shortness of breath pallor skin Increased liver hypotrophy reducing in the physical development Deformation of the chest (cardiac hump) Rough systolic noise at the III i/s to the left from the sternum
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The patch is putted to the defect’s area
Defect of the intraventricle septum The patch is putted to the defect’s area
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Occluder of the transcatheter system (Amplatzer) for closing of the defects of the septum
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Fallo’s tetrad Narrowing of the pulmonary artery,
High defect of the intraventricular septum, Dislocation of the aorta to the right and location of its mouth above the defect of the intraventricular septum Hypertrophy of the right ventricule’s wall
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Fallo’s tetrad Constant cyanosis of the skin
Short breathing-cyanotic attacks Short breathing Tachycardia Sharp weakness Loss of the consciousness Finger as the “drum sticks” reducing physical developement
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Fallo’s tetrad
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Fallo’s tetrad
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Subclavian-pulmonary anastomosis (Blelock-Tausig’s operation)
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Putting of the patch to the defect of the
intraventricle septum at the Fallo’s tetrad
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Coarctation of the aorta
headaches Increasing blood pressure at hands Petulance Gravity and sensitivity of pulsation in a head Nose bleedings Deterioration of the memory and vision Pain in the cardiac area heartbeat Heart defeats Sometimes short breathing
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Aorta’s coartation
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Innate aorta’s stenosis
Attacks of headaches Dizziness Swoons Pain in the cardiac area
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