| Prediction of severe obstruction to right ventricular outflow after repair of tetralogy of Fallot and pulmonary atresia. | |
| | |
MedLine Citation:
|
PMID: 3398548 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Cineangiograms were available for a quantitative retrospective study along with complete clinical information in 96 patients who underwent intracardiac repair of tetralogy of Fallot with pulmonary atresia. Multivariate analysis determined that the risk factors for too high a ratio (greater than or equal to 1) between the peak pressure in the right ventricle and that in the left, in the operating room about 30 minutes after repair, were as follows: size of the patient, small size of the right and left pulmonary arteries, and a larger number of large aortopulmonary collateral arteries. When, according to the multivariate equation, the predicted probability of this ratio being equal to or greater than 1 is 50% or more, consideration may be given to preliminary operations before repair; when the predicted probability is 70% or more, complete repair at that stage may be unwise. |
| | |
Authors:
|
E H Blackstone; Y Shimazaki; T Maehara; J W Kirklin; L M Bargeron |
Related Documents
:
|
6637848 - Collateral function in early acute myocardial infarction. 11742928 - Clinical significance of coronary flow to the infarct zone before successful primary pe... 15735208 - Presence of the metabolic syndrome does not impair coronary collateral vessel formation... 18158188 - Coronary collaterals: the role of mcp-1 during the early phase of acute myocardial infa... 20414118 - Brugada-like phenomenon, induced by intravenous propafenone, in a patient with idiopath... 20381078 - Impact of surgical ventricular reconstruction on stroke volume in patients with ischemi... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of thoracic and cardiovascular surgery Volume: 96 ISSN: 0022-5223 ISO Abbreviation: J. Thorac. Cardiovasc. Surg. Publication Date: 1988 Aug |
Date Detail:
|
Created Date: 1988-09-08 Completed Date: 1988-09-08 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0376343 Medline TA: J Thorac Cardiovasc Surg Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 288-93 Citation Subset: AIM; IM |
Affiliation:
|
Department of Surgery, University of Alabama, Birmingham School of Medicine and Medical Center 35294. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Body Surface Area Collateral Circulation Humans Postoperative Complications* Pulmonary Artery / abnormalities*, surgery Retrospective Studies Risk Factors Tetralogy of Fallot / surgery* Ventricular Outflow Obstruction / etiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Surgical treatment of symptomatic, drug-resistant ventricular bigeminy and other forms of complex ve...
Next Document: Early and late results of reconstructive operation for congenital mitral regurgitation in pediatric ...