The influence of pulmonary insufficiency on ventricular function following repair of tetralogy of Fallot. Evaluation using radionuclide ventriculography
作者： Edward L. Bove , Craig J. Byrum , F. Deaver Thomas , Rae-Ellen W. Kavey , Henry M. Sondheimer
DOI: 10.1016/S0022-5223(19)37504-X
关键词: Cardiac catheterization 、 Ventricular pressure 、 Cardiology 、 Internal medicine 、 Pulmonary insufficiency 、 Medicine 、 Radionuclide angiography 、 Radionuclide ventriculography 、 Ejection fraction 、 Tetralogy of Fallot 、 Stroke volume
摘要: Long-standing pulmonary insufficiency after repair of tetralogy Fallot may adversely affect ventricular function. We evaluated 20 patients at a mean 9 years by radionuclide ventriculography, 24 hour Holter monitoring, and M-mode echocardiography. The age complete was 7.1 +/- 2.6 years. Patients were divided into groups as follows: Group I (eight patients), no clinical insufficiency; II (12 moderate to severe insufficiency. further divided: IIa, transannular patch (six patients); IIb, patients). There difference between for operation, duration follow-up, right pressure, or ventricular-pulmonary arterial gradient. No patient had residual shunt all in New York Heart Association Class I. Serious dysrhythmias occurred 38% 50% (p = NS). echocardiographic ratio left end-diastolic dimension greater with than those without insufficiency: 0.83 0.17 versus 0.55 0.15, p less 0.01. Right ejection fraction 0.39 0.08 0.27 0.07 II, Left 0.64 0.12 0.53 0.02. Radionuclide angiography is useful means identifying dysfunction following Fallot. appears significantly worse
sci-hub.se 参考文章(18)
A. Louise Calder, Brian G. Barratt-Boyes, Peter W.T. Brandt, John M. Neutze, Postoperative evaluation of patients with tetralogy of Fallot repaired in infancy. Including criteria for use of outflow patching and radiologic assessment of pulmonary regurgitation. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 77, pp. 704- 720 ,(1979) , 10.1016/S0022-5223(19)38222-4
Valentin Fuster, Dwight C. McGoon, Margaret A. Kennedy, Donald G. Ritter, John W. Kirklin, Long-term evaluation (12 to 22 years) of open heart surgery for tetralogy of Fallot. American Journal of Cardiology. ,vol. 46, pp. 635- 642 ,(1980) , 10.1016/0002-9149(80)90514-7
N M Katz, E H Blackstone, J W Kirklin, A D Pacifico, L M Bargeron, Late survival and symptoms after repair of tetralogy of Fallot. Circulation. ,vol. 65, pp. 403- 410 ,(1982) , 10.1161/01.CIR.65.2.403
Lawrence A. Reduto, Harvey J. Berger, David E. Johnstone, William Hellenbrand, Frans J.Th. Wackers, Ruth Whittemore, Lawrence S. Cohen, Alexander Gottschalk, Barry L. Zaret, Linda Pytlik, Radionuclide assessment of right and left ventricular exercise reserve after total correction of tetralogy of Fallot American Journal of Cardiology. ,vol. 45, pp. 1013- 1018 ,(1980) , 10.1016/0002-9149(80)90170-8
ELLIS L. JONES, C. RICHARD CONTI, CATHERINE A. NEILL, VINCENT L. GOTT, ROBERT K. BRAWLEY, J. ALEX HALLER, Long-Term Evaluation of Tetralogy Patients with Pulmonary Valvular Insufficiency Resulting from Outflow-Patch Correction Across the Pulmonic Annulus Circulation. ,vol. 48, pp. 11- 18 ,(1973) , 10.1161/01.CIR.48.1S3.III-11
Michael V. Jelinek, Bernard Lown, Exercise stress testing for exposure of cardiac arrhythmia. Progress in Cardiovascular Diseases. ,vol. 16, pp. 497- 522 ,(1974) , 10.1016/0033-0620(74)90008-5
T P Graham, D Cordell, G F Atwood, R J Boucek, R C Boerth, H W Bender, J H Nelson, W K Vaughn, Right ventricular volume characteristics before and after palliative and reparative operation in tetralogy of Fallot. Circulation. ,vol. 54, pp. 417- 423 ,(1976) , 10.1161/01.CIR.54.3.417
P Finnegan, R Haider, R G Patel, L S Abrams, S P Singh, Results of total correction of the tetralogy of Fallot. Long-term haemodynamic evaluation at rest and during exercise. Heart. ,vol. 38, pp. 934- 942 ,(1976) , 10.1136/HRT.38.9.934
Harvey J. Berger, Richard A. Matthay Md, Jacob Loke, Robert C. Marshall, Alexander Gottschalk, Barry L. Zaret, Assessment of cardiac performance with quantitative radionuclide angiocardiography: Right ventricular ejection fraction with reference to findings in chronic obstructive pulmonary disease American Journal of Cardiology. ,vol. 41, pp. 897- 905 ,(1978) , 10.1016/0002-9149(78)90731-2
LAWRENCE A. REDUTO, Sequential Radionuclide Assessment of Left and Right Ventricular Performance after Acute Transmural Myocardial Infarction Annals of Internal Medicine. ,vol. 89, pp. 441- 447 ,(1978) , 10.7326/0003-4819-89-4-441