[Modern computer data base "necropsy protocol": potential and prospects].

Basic principles in developing computer variant of necropsy protocol with wide illustrative possibilities are presented. Perspectives in the use of this information base for research and practice and for teaching the staff of the research and clinical institutions are demonstrated.

[Surgical tactics in critical stenosis and atresia of the pulmonary artery with intact interventricular septum in infants under 1 year of age].

The article analyses experience in surgical treatment of critical stenosis and atresia of the pulmonary artery with an intact interventricular septum in 53 infants. The patients were divided into two groups: group A--26 patients with a hypoplastic cavity of the right ventricle (RV), and group B--27 patients with a normal RV cavity. In group A, 15 patients underwent transpulmonary valvulotomy in combination with subclavian-pulmonary anastomosis by means of a Gortex prosthesis, 6 were subjected to isolated transpulmonary valvulotomy, and 5 patients underwent reconstruction of the RV outlet tract under conditions of extracorporeal circulation.

[Causes of death in patients with coarctation of the aorta operated on after the age of 35].

The article analyses the causes of death of 60 patients with coarctation of the aorta who were operated on after the age of 35 in the period between 1962 and 1988. In the immediate postoperative period the mortality was 8.3%.

[Diagnosis of hypoplasia of the heart ventricles: role of morphometry and morphology in its assessment].

The article deals with the results of the study of the quantitative anatomy and morphology of hypoplastic ventricles. The object of study were 28 specimens of the heart: 15 with hypoplasia of the left ventricle and 13 with hypoplasia of the right ventricle. The control group was composed of 10 specimens of normal hearts.

[Angiocardiographic and echocardiographic diagnosis of complete transposition of great vessels in association with pathology of the aorta].

The article analyses experience in the diagnosis of a pathological condition of the aorta in complete transposition of the great vessels (CTGV) in infants. Pathology of the aorta was revealed in 9 (2.6%) of the 350 patients who were examined.

[Characteristics of the radical correction of Fallot's tetralogy in anomalous distribution of the coronary arteries].

The variants of distribution of the coronary arteries were studied on 41 specimens of the heart with Fallot's tetralogy. The typical topography of the coronary arteries in this cardiac defect is characterized by counterclockwise rotation of the coronary sinuses, dominant system of the right coronary artery with a large infundibular branch, and right type of heart blood supply. There were 6 variants of anomalies of the coronary arteries.

[Angiocardiographic diagnosis of ventricular septal defects in complete transposition of great vessels].

The article analyses experience in angiocardiographic diagnosis of the localization of ventricular septal defects (VSD) in 47 patients with complete transposition of the great vessels (CTGV) and high pulmonary hypertension. Axial X-ray views ("4 chambers" and "long axis") were used in the examination. The work shows the angiographic signs of all types of VSD.

[Quantitative evaluation of hypoplasia of the heart ventricles and its significance for heart surgery].

The quantitative anatomy and morphology of hypoplastic ventricles were studied in 28 afflicted hearts (15 with left ventricular hypoplasia, 13 with right ventricular hypoplasia). The control comprised 10 normal heart specimens. All the 38 specimens were studied morphometrically; this was complemented with angiocardiometry and ventricular volume estimations in diagnosing right ventricular hypoplasia.

Ruptured congenital aneurysm of the sinus of Valsalva. Clinical manifestations, diagnosis, and results of surgical corrections.

An experience with the management of 27 cases of ruptured sinus of Valsalva aneurysm is reported from the Bakulev Institute of Cardiovascular Surgery, Moscow. The right coronary sinus was involved in 23 cases and the noncoronary sinus in four cases. Rupture into the right ventricle occurred in 19 cases, whereas eight ruptures entered the right atrium.

[Atresia of the pulmonary artery with intact intraventricular septum].

Cardiological studies of 16 patients with atresia of the pulmonary artery (APA) and intact interventricular septum (IIS) provided evidence for the following inferences: 1) most hearts in this pathology are characterized by right ventricular (RV) hypoplasia which determines structural defects of the ventricle dependent in their severity on restriction capacity of the right atrioventricular valve and time from the onset of reduced RV blood flow 2) common anatomical features of the defect are complete RV obstruction due to valvular atresia, IIS and normal shape of the conus, RV myocardial hypertrophy 3) survival of the patients conditioned by interatrial communication and open arterial canal. According to the authors, there are three types of APA with IIS. Type I--normal right ventricle with distinct components: sinuous, conical, trabecular.

[Characteristic features of the pathological anatomy and involvement of the myocardium in anomalous branching of the left coronary artery from the pulmonary trunk (Clinico-anatomical comparisons)].

Pathologic, clinical and anatomical correlations are presented for left ventricular affection in abnormal origin of the left coronary artery from the pulmonary trunk. It was revealed that there is a complex of critical factors essential for survival of patients and clinical pattern of the defect including the degree of manifestation of intercoronary collateral circulation, specificity of myocardial left ventricular ischemic impairment and that of mitral structure. Clinical and anatomical comparisons are drawn between the degree of affection of the left ventricular myocardium and its functional capacity.

[Pulmonary artery stenosis with an intact interventricular septum].

15 hearts with pulmonary artery stenosis with an intact interventricular septum (PAS with IIVS) were studied morphologically and morphometrically. The results were evaluated separately according to the type of the defect: with a noncomplicated valvular stenosis of pulmonary artery (PA); with a combined valvular and infundibular stenosis of PA. Every of these types of PAS with IIVS has characteristic features of morphological structure and all possess common anatomical signs: constriction at one of the levels of circulation from the right ventricle to the lesser circulation, normal geometric structure of the cone and myocardial hypertrophy of the right ventricle.

[Atresia of the right atrioventricular ostium].

Thirteen heart preparations with atresia of the right atrio-ventricular orifice (ARAVO) were examined. The ARAVO implies a congenital heart defect characterized by the lack of direct anatomical contact between the right atrium and the right ventricle, the presence of interatrial passage, the only left atrio-ventricular orifice connecting the left atrium with the only ventricular chamber. As indicated by the results of the study, "the right ventricle" in ARAVO contains no sinus part and, therefore, cannot be regarded as a ventricle.