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KMID : 0367419700110020039
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Journal of Korean Pediatric Society
1970 Volume.11 No. 2 p.39 ~ p.44
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Persistent Ostium Atrioventriculare Commune
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徐載鶴/Seo, Jae Hak
李庸一/崔漢雄/池堤根/金相仁/Lee, Yong Il/Choi, Han Woong/Chi, Je G./Kim, Sang In
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Abstract
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This I.8 kg-weighing premature male baby was admitted to the department of Pediatrics, Han I Hospital through emergency room because of high fever, dyspnea and peripheral cyanosis on Sept. 31, 1965. This baby was spontaneously delivered on 34 weeks of gestation. Initial crying and disappea ranee of cyanosis after birth were not delayed. But his parents noticed the difficulty ofrespiratior and high fever from 3 hours of his life. General condition was aggravated gradually and progressivel} thereafter, and the patient expired at the 16th hours after birth.
At autopsy a rare congenital heart malformation, persistent ostium atrioventriculare commune, that was associated with multiple other anomalies of the viscera, i.e., tracheo-esophageal fistula, horseshoe kidney with triple ureters, rectal and anal atresia were observed.
The common atrioventricular canal was complicated with interatrial septa" defect of ostium secunduir type. Tracheo-esophageal fistula was that of type C. Anal atresia was that of type 3. Both kidney; fused together at the mid line of the body and the right-sided kidney showed double pelves ant ureters crossing the anterior surfaces to reach the bladder.
The direct cause of death was extensive bilateral bronchopneumonia.
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