Document Detail


Surgical management of pulmonary atresia with intact ventricular septum. Right ventricular size as a guideline for surgical intervention.
MedLine Citation:
PMID:  1790027     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
61 infants with critical valvular pulmonary stenosis (21 cases) or pulmonary atresia with intact ventricular septum (40 cases) were operated on between 1975-1989 in the Semmelweis University Medical School. Right ventricular volume, area, outflow tract dimension and tricuspid anulus diameter was measured by angiocardiography and echocardiography to evaluate right ventricular size, and to predict the operative outcome using these data. Our results suggested, that if the normalized right ventricular volume was less than 3 ml/m2, the normalized right ventricular area was less than 2.5 cm2/m2, and the normalized right ventricular area was less than 2.5 cm2/m2 and the normalized tricuspid anulus diameter was less than 1.2 cm2/m2/3 only a systemopulmonary shunt procedure is needed. In all other cases pulmonary valvotomy is necessary to decompress the right ventric and to help increase the right ventricular size. Where a different part of the right ventricle is hypoplastic a systemopulmonary shunt procedure is needed too. In the follow up period the right ventricular dimension and tricuspid valve diameter was measured by echocardiography. This noninvasive assessment can predict the preoperative diagnosis, postoperative outcome and demonstrates an adequate growth of the right ventricle after pulmonary valvotomy.
Authors:
I L Hartyánszky; K Kádár; K Faller; K Lozsádi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta paediatrica Hungarica     Volume:  31     ISSN:  0231-441X     ISO Abbreviation:  Acta Paediatr Hung     Publication Date:  1991  
Date Detail:
Created Date:  1992-04-01     Completed Date:  1992-04-01     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  8307729     Medline TA:  Acta Paediatr Hung     Country:  HUNGARY    
Other Details:
Languages:  eng     Pagination:  443-56     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Congenital Abnormalities / surgery
Follow-Up Studies
Heart Ventricles / anatomy & histology
Humans
Infant
Infant, Newborn
Lung / abnormalities*,  surgery
Pulmonary Valve Stenosis / surgery*
Retrospective Studies

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


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