Pre and postoperative ventricular function in infants and children with right ventricular volume overload

Hemodynamic and ventricular volume parameters were evaluated in 21 patients (24 studies) with total anomalous pulmonary venous return (TAPVR), 11 patients with secundum atrial septal defect (ASD), and eight patients who had complete correction of TAPVR or ASD. Right and left ventricular (RV and LV)...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 1977-03, Vol.55 (3), p.479-484
Hauptverfasser: Nakazawa, M, Jarmakani, J M, Gyepes, M T, Prochazka, J V, Yabek, S M, Marks, R A
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container_end_page 484
container_issue 3
container_start_page 479
container_title Circulation (New York, N.Y.)
container_volume 55
creator Nakazawa, M
Jarmakani, J M
Gyepes, M T
Prochazka, J V
Yabek, S M
Marks, R A
description Hemodynamic and ventricular volume parameters were evaluated in 21 patients (24 studies) with total anomalous pulmonary venous return (TAPVR), 11 patients with secundum atrial septal defect (ASD), and eight patients who had complete correction of TAPVR or ASD. Right and left ventricular (RV and LV) volume parameters were calculated according to Simpson's rule and the area length methods, respectively. In infants with TAPVR, RV end-diastolic volume was larger than normal, but RV ejection fraction was significantly less than normal. LV end-diastolic volume and LV ejection fraction were all less than normal in infants with or without pulmonary hypertension, and the values did not correlate with the cardiorespiratory symptoms. In children with TAPVR or ASD, RV end-diastolic volume and output were higher than normal preoperatively and decreased to normal or near normal values postoperatively. The data suggest that pulmonary venous obstruction and/or RV failure are responsible for cardiorespiratory symptoms in infants with TAPVR and early surgical intervention is recommended in these patients.
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source MEDLINE; American Heart Association; Journals@Ovid Complete; Free E-Journal (出版社公開部分のみ)
subjects Blood Volume
Cardiac Volume
Cardiomegaly - physiopathology
Child
Child, Preschool
Heart - physiopathology
Heart Defects, Congenital - physiopathology
Heart Defects, Congenital - surgery
Heart Failure - physiopathology
Heart Failure - surgery
Heart Septal Defects, Atrial - surgery
Heart Ventricles - physiopathology
Hemodynamics
Humans
Infant
Infant, Newborn
Pulmonary Veins - physiopathology
title Pre and postoperative ventricular function in infants and children with right ventricular volume overload
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