Document Detail


Lung volumes, ventricular function and pulmonary arterial flow in children operated on for left-sided congenital diaphragmatic hernia: long-term results.
MedLine Citation:
PMID:  20162285     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To compare MRI-based functional pulmonary and cardiac measurements in the long-term follow-up of children operated on for left-sided congenital diaphragmatic hernia (CDH) with age- and body size-matched healthy controls. METHODS: Twelve children who received immediate postnatal surgery for closure of isolated left-sided CDH were included and received basic medical examinations, pulmonary function testing and echocardiography. MRI included measurement of lung volume, ventricular function assessment and velocity-encoded imaging of the pulmonary arteries and was compared with the data for 12 healthy children matched for age and body size. RESULTS: While patients' clinical test results were not suspicious, comparison between the MRI data for patients and those for healthy controls revealed significant differences. In patients, the volumes of the left lungs were increased and the tidal volume was larger on the right side. While the stroke volumes of both ventricles were reduced, heart rate and ejection fraction were increased. Flow, acceleration time and cross-sectional area of the left pulmonary artery were reduced. CONCLUSION: Functional MRI detected pulmonary and cardiac findings in the late follow-up of CDH children which may be missed by standard clinical methods and might be relevant for decisions regarding late outcome and treatment.
Authors:
Nasreddin Abolmaali; Arne Koch; Knut Götzelt; Gabriele Hahn; Guido Fitze; Christian Vogelberg
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-02-18
Journal Detail:
Title:  European radiology     Volume:  20     ISSN:  1432-1084     ISO Abbreviation:  Eur Radiol     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-09     Completed Date:  2010-09-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1580-9     Citation Subset:  IM    
Affiliation:
OncoRay-Molecular and Biological Imaging, Medical Faculty Carl Gustav Carus, Dresden University of Technology, Dresden, Germany. Nasreddin.Abolmaali@OncoRay.de
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Female
Follow-Up Studies
Hernia, Diaphragmatic / physiopathology*,  surgery*
Humans
Lung / pathology
Lung Volume Measurements
Magnetic Resonance Imaging
Male
Observer Variation
Pulmonary Artery / physiology*
Reference Standards
Ventricular Function, Left / physiology*

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


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