PULMONARY-ARTERY SIZE AFTER BIDIRECTIONAL CAVOPULMONARY CONNECTION

被引：17

作者：

PENNY, DJ ^{[1
]}

PAWADE, A ^{[1
]}

WILKINSON, JL ^{[1
]}

KARL, TR ^{[1
]}

机构：

[1] ROYAL CHILDRENS HOSP,DEPT CARDIOL,PARKVILLE,VIC 3052,AUSTRALIA

来源：

JOURNAL OF CARDIAC SURGERY | 1995年 / 10卷 / 01期

关键词：

D O I：

10.1111/j.1540-8191.1995.tb00585.x

中图分类号：

R5 [内科学];

学科分类号：

1002 [临床医学]; 100201 [内科学];

摘要：

Pulmonary arterial size was measured during cineangiography in 23 patients, 1.9 months before, and 14 months after bidirectional cavopulmonary connection (BCPC). Measurements were standardized for body surface area using the method of Nakata and co-workers (pulmonary artery index). There was a significant reduction in pulmonary artery index after BCPC. These data suggest that pulmonary arterial growth is impaired after the creation of a BCPC. This may be related to an absolute reduction in pulmonary arterial flow, and/or the loss of systolic expansion of the pulmonary artery.

引用

页码：21 / 26

页数：6

共 19 条

[1]

Fontan F, Baudet E, Surgical repair of tricuspid atresia, Thorax, 26, pp. 240-248, (1971)

[2]

Choussat A, Fontan F, Besse P, Et al., Selection criteria for Fontan's procedure, Pediatric Cardiology, pp. 559-566, (1978)

[3]

Fontan F, Fernandez G, Costa F, Et al., The size of the pulmonary arteries and the results of the Fontan operation, J Thorac Cardiovasc Surg, 98, pp. 711-724, (1989)

[4]

Matsushita T, Matsuda H, Ogawa M, Et al., Assessment of the intrapulmonary ventilation‐perfusion distribution after the Fontan procedure for complex cardiac anomalies: Relation to pulmonary hemodynamics, J Am Coll Cardiol, 15, pp. 842-848, (1990)

[5]

Nakazawa M, Nojima K, Okuda H, Et al., Flow dynamics in the main pulmonary artery after the Fontan procedure in patients with tricuspid atresia or single ventricle, Circulation, 75, pp. 1117-1123, (1987)

[6]

Senzaki H, Isoda T, Ishizawa A, Et al., Reconsideration of criteria for the Fontan operation. Influence of pulmonary artery size on postoperative hemodynamics of the Fontan operation, Circulation, 89, pp. 266-271, (1994)

[7]

Bridges ND, Farrell PE, Pigott JD, Et al., Pulmonary artery index: A non‐predictor of operative survival in patients undergoing modified Fontan repair, Circulation, 80, pp. 1216-1221, (1989)

[8]

Bridges ND, Jonas RA, Mayer JE, Et al., Bidirectional cavopulmonary anastomosis as interim palliation for high‐risk Fontan candidates, Circulation, 82, (1990)

[9]

Pridjian AK, Mendelsohn AM, Lupinetti FM, Et al., Usefulness of the bidirectional Glenn procedure as staged reconstruction for the functional single ventricle, Am J Cardiol, 71, pp. 959-962, (1993)

[10]

Chang AC, Hanley FL, Wernovsky G, Et al., Early bidirectional cavopulmonary shunt in young infants. Postoperative course and early results, Circulation, 88, pp. 149-158, (1993)

← 1 2 →