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Herzkrankheiten pp 1117-1125 | Cite as

Aortenisthmusstenose

  • H. Reindell
  • H. Roskamm
  • P. Bubenheimer
  • H. Eichstädt
  • Ch. Gohlke-Bärwolf
  • H. Gohlke

Zusammenfassung

Die Aortenisthmusstenose ist eine angeborene Erkrankung, die durch eine Einstülpung der Aortenmedia in das Lumen bedingt ist. Man unterscheidet eine infantile Form und eine Erwachsenenform. Bei der ersteren ist die Stenose oberhalb eines offenen Ductus arteriosus gelegen. Sie ist meist mit anderen schwerwiegenden Herz- und Gefäßanomalien verbunden. Sie wird fast nur bei Säuglingen festgestellt und führt schnell zum Tode: in diesem Kapitel soll sie nicht näher behandelt werden. Bei der Erwachsenenform liegt die meist umschriebene Stenose unterhalb eines in der Regel geschlossenen Duktus, anderweitige Herz- und Gefäßanomalien liegen in der Regel nicht vor, ausgenommen häufig eine zweizipfelige Aortenklappe (20–85% der Fälle; Wood 1968), die zu einer geringen Aorteninsuffizienz führen kann. Weiterhin kommt die Kombination mit einer valvulären Aortenstenose und einer membranösen Subaortenstenose vor.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • H. Reindell
  • H. Roskamm
  • P. Bubenheimer
  • H. Eichstädt
  • Ch. Gohlke-Bärwolf
  • H. Gohlke

There are no affiliations available

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