Frantsev V I, Selivanenko V T, Zakharov E M
Kardiologiia. 1978 Jul;18(7):14-8.
Operative treatment of isolated secondary interatrial septal defects in 236 patients is analysed. The results testify to the small degree of risk in suturing interatrial septal defects under conditions of moderate hypothermia. A study of central and intracardiac hemodynamics made it possible to reveal the development of acute pulmonary hypertension in some patients after the operation, which may be of a reflex character or a consequence of left ventricular insufficiency. A differential diagnosis and a therapeutic test are suggested for the differentiation and therapy of these conditions.
分析了236例孤立性继发性房间隔缺损的手术治疗情况。结果表明，在中度低温条件下缝合房间隔缺损的风险程度较小。对中心和心内血流动力学的研究使得有可能发现一些患者术后出现急性肺动脉高压，这可能具有反射性特征或左心室功能不全的结果。针对这些情况的鉴别诊断和治疗试验提出了鉴别和治疗建议。
