Lung Biopsy Diagnosis of Operative Indication in Secundum Atrial Septal Defect With Severe Pulmonary Vascular Disease
Surgical indication was determined by lung biopsy in 91 patients with secundum atrial septal defect (ASD) and severe pulmonary hypertension > 70 mm Hg of pulmonary arterial peak pressure and/or pulmonary vascular resistance of > 8 U/m2. Pulmonary vascular disease (PVD) in ASD was classified in...
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| Veröffentlicht in: | Chest 2004-10, Vol.126 (4), p.1042-1047 |
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| creator | Yamaki, Shigeo Kumate, Munetaka Yonesaka, Susumu Maeda, Katsuhide Endo, Masato Tabayashi, Koichi |
| description | Surgical indication was determined by lung biopsy in 91 patients with secundum atrial septal defect (ASD) and severe pulmonary hypertension > 70 mm Hg of pulmonary arterial peak pressure and/or pulmonary vascular resistance of > 8 U/m2.
Pulmonary vascular disease (PVD) in ASD was classified into four types: (1) Musculoelastosis consisting of longitudinal muscle bundles and elastic fibers; surgery is indicated no matter how severely the peripheral small pulmonary arteries are occluded. Surgery was performed in all of the 20 patients, and the postoperative course was uneventful. (2) Plexogenic pulmonary arteriopathy: surgery is indicated for a PVD index ≤ 2.3. Surgery was performed in 25 of the 32 patients. The remaining seven patients for whom surgery was not indicated are under follow-up observation. No deaths have occurred among the 32 patients. (3) Thromboembolism of small pulmonary arteries: Surgery is indicated for all such cases. Surgery was indicated in all of the five patients. (4) Mixed type of plexogenic pulmonary arteriopathy and musculoelastosis: Surgery is indicated if the collateral is not observed. Surgery was performed in 15 of the 25 patients. The remaining 10 patients for whom surgery was not indicated are under follow-up observation. Nine of these 91 patients associated with primary pulmonary hypertension were eliminated from this study.
No deaths due to PVD occurred among the 82 patients who underwent lung biopsy diagnosis. Lung biopsy diagnosis is concluded to be very effective. |
| doi_str_mv | 10.1378/chest.126.4.1042 |
| format | Article |
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Pulmonary vascular disease (PVD) in ASD was classified into four types: (1) Musculoelastosis consisting of longitudinal muscle bundles and elastic fibers; surgery is indicated no matter how severely the peripheral small pulmonary arteries are occluded. Surgery was performed in all of the 20 patients, and the postoperative course was uneventful. (2) Plexogenic pulmonary arteriopathy: surgery is indicated for a PVD index ≤ 2.3. Surgery was performed in 25 of the 32 patients. The remaining seven patients for whom surgery was not indicated are under follow-up observation. No deaths have occurred among the 32 patients. (3) Thromboembolism of small pulmonary arteries: Surgery is indicated for all such cases. Surgery was indicated in all of the five patients. (4) Mixed type of plexogenic pulmonary arteriopathy and musculoelastosis: Surgery is indicated if the collateral is not observed. Surgery was performed in 15 of the 25 patients. The remaining 10 patients for whom surgery was not indicated are under follow-up observation. Nine of these 91 patients associated with primary pulmonary hypertension were eliminated from this study.
No deaths due to PVD occurred among the 82 patients who underwent lung biopsy diagnosis. Lung biopsy diagnosis is concluded to be very effective.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.126.4.1042</identifier><identifier>PMID: 15486361</identifier><identifier>CODEN: CHETBF</identifier><language>eng</language><publisher>Northbrook, IL: Elsevier Inc</publisher><subject>Adult ; atrial septal defect ; Biological and medical sciences ; Capillaries - pathology ; Cardiology. Vascular system ; Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava ; Female ; Heart ; Heart Septal Defects, Atrial - epidemiology ; Heart Septal Defects, Atrial - surgery ; Humans ; Hypertension, Pulmonary - epidemiology ; Hypertension, Pulmonary - pathology ; Lung - pathology ; lung biopsy diagnosis ; Male ; Medical sciences ; Middle Aged ; Pneumology ; Pulmonary Artery - pathology ; pulmonary hypertension ; Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases ; pulmonary vascular disease ; Thrombosis - epidemiology ; Tunica Intima - pathology ; Vascular Resistance</subject><ispartof>Chest, 2004-10, Vol.126 (4), p.1042-1047</ispartof><rights>2004 The American College of Chest Physicians</rights><rights>2004 INIST-CNRS</rights><rights>Copyright American College of Chest Physicians Oct 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c444t-bafe481591a3c9268b0e308625f1f56cfec2d9ca8e8b0f1370659ec1489499333</citedby><cites>FETCH-LOGICAL-c444t-bafe481591a3c9268b0e308625f1f56cfec2d9ca8e8b0f1370659ec1489499333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16198483$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15486361$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamaki, Shigeo</creatorcontrib><creatorcontrib>Kumate, Munetaka</creatorcontrib><creatorcontrib>Yonesaka, Susumu</creatorcontrib><creatorcontrib>Maeda, Katsuhide</creatorcontrib><creatorcontrib>Endo, Masato</creatorcontrib><creatorcontrib>Tabayashi, Koichi</creatorcontrib><title>Lung Biopsy Diagnosis of Operative Indication in Secundum Atrial Septal Defect With Severe Pulmonary Vascular Disease</title><title>Chest</title><addtitle>Chest</addtitle><description>Surgical indication was determined by lung biopsy in 91 patients with secundum atrial septal defect (ASD) and severe pulmonary hypertension > 70 mm Hg of pulmonary arterial peak pressure and/or pulmonary vascular resistance of > 8 U/m2.
Pulmonary vascular disease (PVD) in ASD was classified into four types: (1) Musculoelastosis consisting of longitudinal muscle bundles and elastic fibers; surgery is indicated no matter how severely the peripheral small pulmonary arteries are occluded. Surgery was performed in all of the 20 patients, and the postoperative course was uneventful. (2) Plexogenic pulmonary arteriopathy: surgery is indicated for a PVD index ≤ 2.3. Surgery was performed in 25 of the 32 patients. The remaining seven patients for whom surgery was not indicated are under follow-up observation. No deaths have occurred among the 32 patients. (3) Thromboembolism of small pulmonary arteries: Surgery is indicated for all such cases. Surgery was indicated in all of the five patients. (4) Mixed type of plexogenic pulmonary arteriopathy and musculoelastosis: Surgery is indicated if the collateral is not observed. Surgery was performed in 15 of the 25 patients. The remaining 10 patients for whom surgery was not indicated are under follow-up observation. Nine of these 91 patients associated with primary pulmonary hypertension were eliminated from this study.
No deaths due to PVD occurred among the 82 patients who underwent lung biopsy diagnosis. Lung biopsy diagnosis is concluded to be very effective.</description><subject>Adult</subject><subject>atrial septal defect</subject><subject>Biological and medical sciences</subject><subject>Capillaries - pathology</subject><subject>Cardiology. Vascular system</subject><subject>Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava</subject><subject>Female</subject><subject>Heart</subject><subject>Heart Septal Defects, Atrial - epidemiology</subject><subject>Heart Septal Defects, Atrial - surgery</subject><subject>Humans</subject><subject>Hypertension, Pulmonary - epidemiology</subject><subject>Hypertension, Pulmonary - pathology</subject><subject>Lung - pathology</subject><subject>lung biopsy diagnosis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pneumology</subject><subject>Pulmonary Artery - pathology</subject><subject>pulmonary hypertension</subject><subject>Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases</subject><subject>pulmonary vascular disease</subject><subject>Thrombosis - epidemiology</subject><subject>Tunica Intima - pathology</subject><subject>Vascular Resistance</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1UU1v1DAQjRCIbgt3TshCorcsduy4NrfS8lFppSLxdbS8zmTXVWIHO17Uf8-UXWkFEqfx2O_NG79XVS8YXTJ-od64LeR5yRq5FEtGRfOoWjDNWc1bwR9XC0pZU3Opm5PqNOc7ij3T8ml1wlqhJJdsUZVVCRvyzscp35NrbzchZp9J7MntBMnOfgfkJnTe4TEG4gP5Aq6Erozkck7eDthPM5Zr6MHN5Ieft3i1gwTkcxnGGGy6J99tdmWwCRUy2AzPqie9HTI8P9Sz6tuH91-vPtWr2483V5er2gkh5nptexCKtZpZ7nQj1ZoCp0o2bc_6VjpUbDrtrAJ86dERKlsNjgmlhdac87PqfD93SvFnQa_M6LODYbABYslGSn3BW9Ui8NU_wLtYUsDdTEOpYG2jKYLoHuRSzDlBb6bkR_yfYdQ85GH-5GEwDyPMQx5IeXmYW9YjdEfCIQAEvD4A0CI79MkG5_MRJ5lWQvGj9tZvtr98ApNHOww4lu9VD_v-pf12TwF0eOchmew8BAcd0t1suuj_v_hvHdu5Fw</recordid><startdate>20041001</startdate><enddate>20041001</enddate><creator>Yamaki, Shigeo</creator><creator>Kumate, Munetaka</creator><creator>Yonesaka, Susumu</creator><creator>Maeda, Katsuhide</creator><creator>Endo, Masato</creator><creator>Tabayashi, Koichi</creator><general>Elsevier Inc</general><general>American College of Chest Physicians</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20041001</creationdate><title>Lung Biopsy Diagnosis of Operative Indication in Secundum Atrial Septal Defect With Severe Pulmonary Vascular Disease</title><author>Yamaki, Shigeo ; Kumate, Munetaka ; Yonesaka, Susumu ; Maeda, Katsuhide ; Endo, Masato ; Tabayashi, Koichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-bafe481591a3c9268b0e308625f1f56cfec2d9ca8e8b0f1370659ec1489499333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>atrial septal defect</topic><topic>Biological and medical sciences</topic><topic>Capillaries - pathology</topic><topic>Cardiology. Vascular system</topic><topic>Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava</topic><topic>Female</topic><topic>Heart</topic><topic>Heart Septal Defects, Atrial - epidemiology</topic><topic>Heart Septal Defects, Atrial - surgery</topic><topic>Humans</topic><topic>Hypertension, Pulmonary - epidemiology</topic><topic>Hypertension, Pulmonary - pathology</topic><topic>Lung - pathology</topic><topic>lung biopsy diagnosis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pneumology</topic><topic>Pulmonary Artery - pathology</topic><topic>pulmonary hypertension</topic><topic>Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases</topic><topic>pulmonary vascular disease</topic><topic>Thrombosis - epidemiology</topic><topic>Tunica Intima - pathology</topic><topic>Vascular Resistance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamaki, Shigeo</creatorcontrib><creatorcontrib>Kumate, Munetaka</creatorcontrib><creatorcontrib>Yonesaka, Susumu</creatorcontrib><creatorcontrib>Maeda, Katsuhide</creatorcontrib><creatorcontrib>Endo, Masato</creatorcontrib><creatorcontrib>Tabayashi, Koichi</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamaki, Shigeo</au><au>Kumate, Munetaka</au><au>Yonesaka, Susumu</au><au>Maeda, Katsuhide</au><au>Endo, Masato</au><au>Tabayashi, Koichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lung Biopsy Diagnosis of Operative Indication in Secundum Atrial Septal Defect With Severe Pulmonary Vascular Disease</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>2004-10-01</date><risdate>2004</risdate><volume>126</volume><issue>4</issue><spage>1042</spage><epage>1047</epage><pages>1042-1047</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><coden>CHETBF</coden><abstract>Surgical indication was determined by lung biopsy in 91 patients with secundum atrial septal defect (ASD) and severe pulmonary hypertension > 70 mm Hg of pulmonary arterial peak pressure and/or pulmonary vascular resistance of > 8 U/m2.
Pulmonary vascular disease (PVD) in ASD was classified into four types: (1) Musculoelastosis consisting of longitudinal muscle bundles and elastic fibers; surgery is indicated no matter how severely the peripheral small pulmonary arteries are occluded. Surgery was performed in all of the 20 patients, and the postoperative course was uneventful. (2) Plexogenic pulmonary arteriopathy: surgery is indicated for a PVD index ≤ 2.3. Surgery was performed in 25 of the 32 patients. The remaining seven patients for whom surgery was not indicated are under follow-up observation. No deaths have occurred among the 32 patients. (3) Thromboembolism of small pulmonary arteries: Surgery is indicated for all such cases. Surgery was indicated in all of the five patients. (4) Mixed type of plexogenic pulmonary arteriopathy and musculoelastosis: Surgery is indicated if the collateral is not observed. Surgery was performed in 15 of the 25 patients. The remaining 10 patients for whom surgery was not indicated are under follow-up observation. Nine of these 91 patients associated with primary pulmonary hypertension were eliminated from this study.
No deaths due to PVD occurred among the 82 patients who underwent lung biopsy diagnosis. Lung biopsy diagnosis is concluded to be very effective.</abstract><cop>Northbrook, IL</cop><pub>Elsevier Inc</pub><pmid>15486361</pmid><doi>10.1378/chest.126.4.1042</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult atrial septal defect Biological and medical sciences Capillaries - pathology Cardiology. Vascular system Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava Female Heart Heart Septal Defects, Atrial - epidemiology Heart Septal Defects, Atrial - surgery Humans Hypertension, Pulmonary - epidemiology Hypertension, Pulmonary - pathology Lung - pathology lung biopsy diagnosis Male Medical sciences Middle Aged Pneumology Pulmonary Artery - pathology pulmonary hypertension Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases pulmonary vascular disease Thrombosis - epidemiology Tunica Intima - pathology Vascular Resistance |
| title | Lung Biopsy Diagnosis of Operative Indication in Secundum Atrial Septal Defect With Severe Pulmonary Vascular Disease |
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