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Biomedical subjects

K E Fellows

Publications and source records attributed to K E Fellows.

At least 109 records · Page 6Linked to original sources

The cervical aortic arches.

Four cases of cervical aortic arch are described and correlated with the 21 previously reproted cases. Five distinct forms of cervical aortic arch were found and classified according to configuration of the aorta, sequence of brachiocephalic branching, and embryogenesis. In brief, Type A has separate external and internal carotid artery branches from the aortic arch. Tye B is similar but has dual common carotid arteries. Type C is a left cervical arch with a right-sided descending aorta and bicarotid trunk. Type D is a left cervical arch with a normal branching pattern, redundant transverse aorta and left-sided (often hypoplastic) descending aorta. Type E is a right cervical aortic arch with a right descending aorta and an aberrant left subclavian artery.

Angiocardiography↗

Results of routine preoperative coronary angiography in tetralogy of Fallot.

In the surgical repair of tetralogy of Fallot, morvidity and mortality are increased by certain coronary anomalies, in particular, an anterior descending branch originating from the right coronary artery or a single coronary artery in which a large coronary branch runs across the pulmonary outflow tract. In series of 94 patients with tetralogy of Fallot who underwent cardiac catheterization, coronary artery visualization was attempted routinely, most often by flush aortography using a venous catheter. Diagnostic coronary visualization was obtained in 84 patients (89%). In these, the incidence of recognized coronary anomalies was 5%; anterior decending from the right coronary artery in four patients (4%), and singly left coronary in one patient (1%). In 195 autopsied cases of tetralogy, the incidence of coronary anomalies was also 5%. Routine preoperative demonstration of the coronary artery anatomy in tetralogy patients usually can be accomplished satisfactorily and conveniently by transvenous flush aortography.

Adolescent↗