肥大型心筋症患者にみられた歯根嚢胞の治療経験

抄録

A 48-year-old woman who had a radicular cyst of the right upper anterior teeth wa diagnosed as aymmetrical septal hypertrophy (ASH). In the echocardiogram the ventricular septum was disproportionately thickened compared to the posteriorbasal left ventricular free wall. The electrocardiograms revealed abnormal Q waves in Lead 3.
For premedication, minor tranquilizer was given to the patient, 10 mg internally 30 minutes before surgery. Extraction of the right upper lateral incisor, apicoectomy of the right upper central incisor and canine and marsupialization of the radicular cyst were performed under local anesthesia. 1% lidocaine without Epinephrine, 4ml was used as the local anesthetics. No abnormal signs were noted during and after the operation.
It is important for the dentsit to take the patient's personal and family histories because ASH is frequently transmitted genetically. If there had been a case of sudden death in the family, possibility of ASH must be kept in mind.