Document Detail


Left ventricular growth in selected hypoplastic left ventricles: outcome after repair of coarctation of aorta.
MedLine Citation:
PMID:  10475427     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Models that predict survival in neonates with left ventricular hypoplasia and critical aortic stenosis may not be applicable to neonates with left ventricular hypoplasia and coarctation. METHODS AND RESULTS: We report 8 infants with severe aortic coarctation and left ventricular hypoplasia. Mean age was 18 days (range 1-48 days), and mean weight was 3.5 kg (range 2.7-4.3 kg). Associated diagnoses included mild aortic stenosis (4), ventricular septal defect (2), and venous anomalies (2). All had coarctation repair as a primary procedure (3 of these had concomitant intracardiac procedures); 7 had subsequent operations. All are alive and well 1.1-6.7 years (mean 3.1 years) after the first surgery. Progressive increases were observed in aortic and mitral diameters, and in left ventricular dimensions, areas, and volumes when the preoperative, earliest postoperative, and most recent echocardiograms were compared. CONCLUSIONS: Despite severe left ventricular hypoplasia, a two-ventricle repair is possible in selected cases. The prognostic criteria for left ventricular hypoplasia in critical aortic stenosis may not be applicable to infant coarctation. Relief of coarctation may result in the growth of the very small left ventricle, especially when the aortic root and mitral diameters are satisfactory.
Authors:
E T Alboliras; C Mavroudis; E Pahl; S S Gidding; C L Backer; A P Rocchini
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  68     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-09-15     Completed Date:  1999-09-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  549-55     Citation Subset:  AIM; IM    
Affiliation:
Children's Memorial Hospital, Department of Pediatrics, Northwestern University Medical School, Chicago, Illinois 60614, USA.
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MeSH Terms
Descriptor/Qualifier:
Aortic Coarctation / surgery*,  ultrasonography
Cardiac Volume / physiology*
Echocardiography*
Female
Follow-Up Studies
Humans
Hypoplastic Left Heart Syndrome / surgery*,  ultrasonography
Image Processing, Computer-Assisted
Infant
Infant, Newborn
Male
Postoperative Complications / surgery,  ultrasonography*
Reoperation
Ventricular Function, Left / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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