Double outlet right ventricle the Taussig-Bing syndrome.
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Biomedical subjects
Publications and source records attributed to B O Okuwobi.
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The present set up of the Cardiovascular Laboratory of Lagos University Teaching Hospital and our experience in cardiac catheterisation and angiocardiography in the laboratory between 1972--1976 are documented. Most of the patients studied were adults and all but one had both right and left heart catheterisation. Trans-septal procedure and selective coronary angiography were not undertaken during the period under review. In about 25% of the cases studied the clinical diagnosis was proved incorrect or incomplete at cardiac catheterisation. There were no major complications during or following any of the procedures probably because of the limited procedures; the point is however made that cardiac catheterisation is not innocuous, and while it offers an important and valueable means of establishing the diagnosis of specific cardiac malformation and haemodynamics, it must be used indiscriminately.
The problem of heart disease of unknown aetiology as it is found in the Nigerian environment is presented. The fact that it is nearly impossible on many occasions to make a conclusive diagnosis on clinical grounds alone of either endomyocardial fibrosis and heart muscle disease is discussed and the need for haemodynamic and angiographic studies to make the differentiation is stressed. The clinical, radiological, electrocardiographic, and haemodynamic features of each of the two varieties of "cardiomyopathy" is presented and the distinguishing features are emphasised. The occasional difficulty in differentiating heart muscle disease from hypertensive heart disease is discussed and the fact that the two differ distinctly on haemodynamic pressure studies is established. Previous published hypotheses regarding the aetiology of these cardiac conditions are discussed, and suggestions are made as to the lines of future research including virological studies and the possible myocardiopathic effect of some of the local traditional herbs.
Angiocardiographic study of a case of multiple ventricular aneurysms in a 17 year old Nigerian girl is reported. The patient presented with ventricular tachycardia and has remained well after conversion of the arrhythmia to sinus rhythm. The pathogenesis of multiple ventricular aneurysms is briefly reviewed.
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Explore the source record for details and available documents.
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