Complicated transseptal puncture during intervention catheter ablation on atrial fibrillation concomitant with straight back syndrome.
ABSTRACT Straight back syndrome (SBS) is a thoracic deformity with absence of upper thoracic spine kyphosis and heart compression. The anatomic abnormity of SBS may raise the difficulty of introcardial operation and increase the complicated risk of intervention performance. Here we report a case of SBS with complicated transseptal puncture during intervention catheter ablation of atrial fibrillation.
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ABSTRACT: We have presented a new syndrome of heart disease that has not been found recorded in the literature heretofore. We prefer to call this the “straight back” syndrome. It consists of a congenital straightening of the upper dorsal spine which decreases the anteroposterior diameter of the chest at this level. Compression phenomena result which may either cause pseudocardiomegaly or cause mechanical murmurs. These murmurs are systolic in timing and would seem secondary to impingement or distortion of the great vessels. The condition is easily recognized by simple physical examination and usually confirmed when lateral x-ray views are taken. These defects are simple and may not be uncommon. Recognition of this condition may prevent a common form of iatrogenic heart disease.The American Journal of Cardiology 03/1960; 5(3):333–338. · 3.21 Impact Factor
Article: The straight back syndrome.[show abstract] [hide abstract]
ABSTRACT: The straight back syndrome, consisting of loss of normal upper thoracic spinal curvature associated with cardiac murmurs and radiographic cardiomegaly is considered a form of 'pseudoheart disease' which has been attributed to squashing of the heart in the reduced AP diameter of the chest. During an 18-month period 31 patients referred to a cardiologist were found to have a straight back. Forty-five relatives were subsequently examined and 27 were found also to have a straight back. Palpitations and chest pain were the commonest symptoms. On the lateral chest radiograph the distance from the middle of the anterior border T8 to a vertical line connecting T4 and T12 was found to be significantly reduced compared to controls, and a value less 1.2 cm is indicative of a straight back. Of the 58 subjects with the syndrome, 39 (67 per cent) had clinical and/or echocardiographic evidence of mitral valve prolapse. Respiratory function testing revealed no significant abnormality. HLA typing showed no association with an particular HLA antigen but indicates that the straight back syndrome is inherited as an autosomal dominant condition and suggested that the antigenic determinants may be located on chromosome 6. We conclude that the straight back syndrome should no longer be considered a form of pseudoheart disease and patients should be investigated for associated mitral valve prolapse and their relatives screened.The Quarterly journal of medicine 02/1980; 49(196):443-60.
- Circulation 09/1965; 32:193-203. · 15.20 Impact Factor