Pulmonary artery growth fails to match the increase in body surface area after the Fontan operation
Objective: To evaluate the growth of the pulmonary arteries after a Fontan procedure. Design: Retrospective review. Setting: Two paediatric cardiology tertiary care centres. Patients: 61 children who underwent a modified Fontan operation and had angiography suitable for assessment of pulmonary arter...
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| Veröffentlicht in: | Heart (British Cardiac Society) 2006-04, Vol.92 (4), p.511-514 |
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| creator | Tatum, G H Sigfússon, G Ettedgui, J A Myers, J L Cyran, S E Weber, H S Webber, S A |
| description | Objective: To evaluate the growth of the pulmonary arteries after a Fontan procedure. Design: Retrospective review. Setting: Two paediatric cardiology tertiary care centres. Patients: 61 children who underwent a modified Fontan operation and had angiography suitable for assessment of pulmonary artery size before the Fontan procedure and during long term follow up. An atriopulmonary connection (APC) was present in 23 patients (37.7%) and a total cavopulmonary connection (TCPC) was present in 38 (62.3%). Postoperative angiograms were performed 0.5–121 months (median 19 months) after the Fontan operation. Main outcome measure: Growth of each pulmonary artery measured just before the first branching point. The diameter was expressed as a z score with established nomograms used to standardise for body surface area. Results: The mean change in the preoperative to postoperative z scores of the right pulmonary artery was −1.06 (p = 0.004). The mean change in the preoperative to postoperative z scores of the left pulmonary artery was −0.88 (p = 0.003). Changes in the preoperative to postoperative z scores were more pronounced in the patients undergoing APC than TCPC, especially for the right pulmonary artery. Conclusion: After the Fontan operation, growth of the pulmonary arteries often fails to match the increase in body surface area. |
| doi_str_mv | 10.1136/hrt.2005.070243 |
| format | Article |
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Design: Retrospective review. Setting: Two paediatric cardiology tertiary care centres. Patients: 61 children who underwent a modified Fontan operation and had angiography suitable for assessment of pulmonary artery size before the Fontan procedure and during long term follow up. An atriopulmonary connection (APC) was present in 23 patients (37.7%) and a total cavopulmonary connection (TCPC) was present in 38 (62.3%). Postoperative angiograms were performed 0.5–121 months (median 19 months) after the Fontan operation. Main outcome measure: Growth of each pulmonary artery measured just before the first branching point. The diameter was expressed as a z score with established nomograms used to standardise for body surface area. Results: The mean change in the preoperative to postoperative z scores of the right pulmonary artery was −1.06 (p = 0.004). The mean change in the preoperative to postoperative z scores of the left pulmonary artery was −0.88 (p = 0.003). Changes in the preoperative to postoperative z scores were more pronounced in the patients undergoing APC than TCPC, especially for the right pulmonary artery. Conclusion: After the Fontan operation, growth of the pulmonary arteries often fails to match the increase in body surface area.</description><identifier>ISSN: 1355-6037</identifier><identifier>EISSN: 1468-201X</identifier><identifier>DOI: 10.1136/hrt.2005.070243</identifier><identifier>PMID: 16159974</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and British Cardiovascular Society</publisher><subject>Adolescent ; Adult ; Age ; Biological and medical sciences ; Body Surface Area ; Cardiology. Vascular system ; Child ; Child, Preschool ; Congenital Heart Disease ; Female ; Fontan operation ; Fontan Procedure - adverse effects ; Heart Defects, Congenital - surgery ; Humans ; Infant ; Male ; Medical sciences ; Pulmonary arteries ; Pulmonary Artery - growth & development ; Pulmonary Artery - surgery ; Retrospective Studies ; Studies ; Veins & arteries</subject><ispartof>Heart (British Cardiac Society), 2006-04, Vol.92 (4), p.511-514</ispartof><rights>Copyright 2006 by Heart</rights><rights>2006 INIST-CNRS</rights><rights>Copyright: 2006 Copyright 2006 by Heart</rights><rights>Copyright © 2006 BMJ Publishing Group and British Cardiovascular Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b522t-bbafc5f9d0005b757660cb05d9e6d899966a1f9f6bdf3b02f9e25618067f543</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://heart.bmj.com/content/92/4/511.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://heart.bmj.com/content/92/4/511.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,314,727,780,784,885,3196,23571,27924,27925,53791,53793,77600,77631</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17582015$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16159974$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tatum, G H</creatorcontrib><creatorcontrib>Sigfússon, G</creatorcontrib><creatorcontrib>Ettedgui, J A</creatorcontrib><creatorcontrib>Myers, J L</creatorcontrib><creatorcontrib>Cyran, S E</creatorcontrib><creatorcontrib>Weber, H S</creatorcontrib><creatorcontrib>Webber, S A</creatorcontrib><title>Pulmonary artery growth fails to match the increase in body surface area after the Fontan operation</title><title>Heart (British Cardiac Society)</title><addtitle>Heart</addtitle><description>Objective: To evaluate the growth of the pulmonary arteries after a Fontan procedure. Design: Retrospective review. Setting: Two paediatric cardiology tertiary care centres. Patients: 61 children who underwent a modified Fontan operation and had angiography suitable for assessment of pulmonary artery size before the Fontan procedure and during long term follow up. An atriopulmonary connection (APC) was present in 23 patients (37.7%) and a total cavopulmonary connection (TCPC) was present in 38 (62.3%). Postoperative angiograms were performed 0.5–121 months (median 19 months) after the Fontan operation. Main outcome measure: Growth of each pulmonary artery measured just before the first branching point. The diameter was expressed as a z score with established nomograms used to standardise for body surface area. Results: The mean change in the preoperative to postoperative z scores of the right pulmonary artery was −1.06 (p = 0.004). The mean change in the preoperative to postoperative z scores of the left pulmonary artery was −0.88 (p = 0.003). Changes in the preoperative to postoperative z scores were more pronounced in the patients undergoing APC than TCPC, especially for the right pulmonary artery. Conclusion: After the Fontan operation, growth of the pulmonary arteries often fails to match the increase in body surface area.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Biological and medical sciences</subject><subject>Body Surface Area</subject><subject>Cardiology. Vascular system</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Congenital Heart Disease</subject><subject>Female</subject><subject>Fontan operation</subject><subject>Fontan Procedure - adverse effects</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pulmonary arteries</subject><subject>Pulmonary Artery - growth & development</subject><subject>Pulmonary Artery - surgery</subject><subject>Retrospective Studies</subject><subject>Studies</subject><subject>Veins & arteries</subject><issn>1355-6037</issn><issn>1468-201X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkcGL1DAUxoso7rp69iYB0YPQ2aRtkuYiyOCqOKyiot7CS5psO7bJmKTq_vdmtsOuevH0Hrzf-_g-vqJ4SPCKkJqd9iGtKozpCnNcNfWt4pg0rC0rTL7ezntNaclwzY-KezFuMcaNaNnd4ogwQoXgzXGh38_j5B2ESwQhmTwugv-ZemRhGCNKHk2QdI9Sb9DgdDAQ9wtSvrtEcQ4WtMmfBhDY_H7FnXmXwCG_MwHS4N394o6FMZoHh3lSfDx7-Wn9uty8e_Vm_WJTKlpVqVQKrKZWdNknVZxyxrBWmHbCsK4VQjAGxArLVGdrhSsrTEUZaTHjljb1SfF8Ud3NajKdNi4FGOUuDFNOJz0M8u-LG3p54X9I0jLccpIFnh4Egv8-m5jkNERtxhGc8XOUjPOGV02bwcf_gFs_B5ejScKznZbgK7nThdLBxxiMvbZCsNyXJ3N5cl-eXMrLH4_-THDDH9rKwJMDAFHDaAM4PcQbjtM2N08zVy7cEJP5dX2H8C2HqDmV55_X8u3mC13X_IM8z_yzhVfT9r8ufwN0iMAb</recordid><startdate>20060401</startdate><enddate>20060401</enddate><creator>Tatum, G H</creator><creator>Sigfússon, G</creator><creator>Ettedgui, J A</creator><creator>Myers, J L</creator><creator>Cyran, S E</creator><creator>Weber, H S</creator><creator>Webber, S A</creator><general>BMJ Publishing Group Ltd and British Cardiovascular Society</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><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>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20060401</creationdate><title>Pulmonary artery growth fails to match the increase in body surface area after the Fontan operation</title><author>Tatum, G H ; Sigfússon, G ; Ettedgui, J A ; Myers, J L ; Cyran, S E ; Weber, H S ; Webber, S A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b522t-bbafc5f9d0005b757660cb05d9e6d899966a1f9f6bdf3b02f9e25618067f543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Biological and medical sciences</topic><topic>Body Surface Area</topic><topic>Cardiology. Vascular system</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Congenital Heart Disease</topic><topic>Female</topic><topic>Fontan operation</topic><topic>Fontan Procedure - adverse effects</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pulmonary arteries</topic><topic>Pulmonary Artery - growth & development</topic><topic>Pulmonary Artery - surgery</topic><topic>Retrospective Studies</topic><topic>Studies</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tatum, G H</creatorcontrib><creatorcontrib>Sigfússon, G</creatorcontrib><creatorcontrib>Ettedgui, J A</creatorcontrib><creatorcontrib>Myers, J L</creatorcontrib><creatorcontrib>Cyran, S E</creatorcontrib><creatorcontrib>Weber, H S</creatorcontrib><creatorcontrib>Webber, S A</creatorcontrib><collection>Istex</collection><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>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM 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>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Heart (British Cardiac Society)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tatum, G H</au><au>Sigfússon, G</au><au>Ettedgui, J A</au><au>Myers, J L</au><au>Cyran, S E</au><au>Weber, H S</au><au>Webber, S A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pulmonary artery growth fails to match the increase in body surface area after the Fontan operation</atitle><jtitle>Heart (British Cardiac Society)</jtitle><addtitle>Heart</addtitle><date>2006-04-01</date><risdate>2006</risdate><volume>92</volume><issue>4</issue><spage>511</spage><epage>514</epage><pages>511-514</pages><issn>1355-6037</issn><eissn>1468-201X</eissn><abstract>Objective: To evaluate the growth of the pulmonary arteries after a Fontan procedure. Design: Retrospective review. Setting: Two paediatric cardiology tertiary care centres. Patients: 61 children who underwent a modified Fontan operation and had angiography suitable for assessment of pulmonary artery size before the Fontan procedure and during long term follow up. An atriopulmonary connection (APC) was present in 23 patients (37.7%) and a total cavopulmonary connection (TCPC) was present in 38 (62.3%). Postoperative angiograms were performed 0.5–121 months (median 19 months) after the Fontan operation. Main outcome measure: Growth of each pulmonary artery measured just before the first branching point. The diameter was expressed as a z score with established nomograms used to standardise for body surface area. Results: The mean change in the preoperative to postoperative z scores of the right pulmonary artery was −1.06 (p = 0.004). The mean change in the preoperative to postoperative z scores of the left pulmonary artery was −0.88 (p = 0.003). Changes in the preoperative to postoperative z scores were more pronounced in the patients undergoing APC than TCPC, especially for the right pulmonary artery. Conclusion: After the Fontan operation, growth of the pulmonary arteries often fails to match the increase in body surface area.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and British Cardiovascular Society</pub><pmid>16159974</pmid><doi>10.1136/hrt.2005.070243</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Age Biological and medical sciences Body Surface Area Cardiology. Vascular system Child Child, Preschool Congenital Heart Disease Female Fontan operation Fontan Procedure - adverse effects Heart Defects, Congenital - surgery Humans Infant Male Medical sciences Pulmonary arteries Pulmonary Artery - growth & development Pulmonary Artery - surgery Retrospective Studies Studies Veins & arteries |
| title | Pulmonary artery growth fails to match the increase in body surface area after the Fontan operation |
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