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Angeborene Herzfehler

  • A. J. Beuren
  • G. Joppich
  • Kl. Goerttler
  • A. L. Linzbach
  • H. W. Rautenburg
  • P. Heintzen
  • H. Mentzel
  • A. J. Beuren
  • J. Apitz
  • J. Stoermer
  • R. Künzler
  • W. Heck
  • S. Buchs
  • P. Müller-Brunotte
  • E. Rossi
  • W. Hort
  • J. W. Weber
Chapter
  • 14 Downloads
Part of the Handbuch der Kinderheilkunde book series (HDB KINDERHEIL, volume 7)

Zusammenfassung

Für die Ausprägung des klinischen Bildes angeborener Angiokardiopathien sind die hämodynamischen Veränderungen, die sich aus dem anatomischen Defekt ergeben, ausschlaggebend. Diese Veränderungen können bei ein und derselben Fehlbildung je nach dem Grade ihrer Ausprägung oder nach der Dauer ihres Bestehens zu voneinander abweichenden oder wechselnden hämodynamischen Verhältnissen bis zur Shunt-Umkehr führen. Dies ist der Grund, weshalb eine Einteilung der angeborenen Fehlbildungen des Herzens und der Gefäße allein nach hämodynamischen Gesichtspunkten Schwierigkeiten bereitet. Ein und dasselbe Krankheitsbild würde im Verlauf des Leidens zuweilen seine Position wechseln müssen oder von vornherein wegen verschieden schwerer Ausprägung an verschiedenen Stellen eingeordnet werden müssen. Die Einteilungsprinzipien aller monographischen Darstellungen weichen daher voneinander ab.

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