Document Detail


Lung function in atrial septal defect after heart surgery.
MedLine Citation:
PMID:  1428285     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Lung volume, indices of lung elasticity and airway patency were measured in 74 patients, 9-21 yr old (15.0 +/- 2.5 yr) with atrial septal defect (secundum type) from 2-11 (5.1 +/- 2.5) yr after successful surgical correction. Clinical condition in all patients was classified as excellent. Heart surgery was performed at the age of 4-14.8 (9.9 +/- 3.0) yr. Lung function abnormalities were found in 35 (47.3%) patients. Lung recoil pressure was significantly increased in 24 (32.4%) patients. The mean value of lung recoil pressure at 100% of total lung capacity reached 123 +/- 31% of the predicted value (P < 0.0001). Specific static compliance was within normal limits. Specific airway conductance was significantly reduced in 13 (17.6%) patients. Maximum expiratory flow at 25% of vital capacity was significantly reduced in 4 (5.4%) patients. Static lung volumes did not differ from reference values. Since various abnormalities of lung function tests (most frequently the tests suggested increased lung stiffness and obstruction of larger airways) were revealed in almost half of the studied children and adolescents after successful surgery for atrial septal defect, we propose to carry out lung function tests routinely as another criterion of health conditions in these patients.
Authors:
J Sulc; M Samánek; A Zapletal
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of cardiology     Volume:  37     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  1992 Oct 
Date Detail:
Created Date:  1992-12-03     Completed Date:  1992-12-03     Revised Date:  2006-07-12    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  15-21     Citation Subset:  IM    
Affiliation:
Kardiocentrum, University Hospital Motol, Prague, Czechoslovakia.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Airway Resistance / physiology*
Child
Female
Heart Septal Defects, Atrial / physiopathology,  surgery*
Humans
Lung Compliance / physiology*
Lung Volume Measurements*
Male
Postoperative Complications / physiopathology*
Pulmonary Circulation / physiology
Pulmonary Wedge Pressure / physiology
Respiration, Artificial
Vascular Resistance / physiology

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


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