| Truncus arteriosus with single pulmonary artery: influence of pulmonary vascular obstructive disease on early and late operative results. | |
| | |
MedLine Citation:
|
PMID: 3989127 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Nineteen patients with truncus arteriosus and single pulmonary artery had corrective operations at the Mayo Clinic from 1969 to 1983. At operation, their ages ranged from 4 months to 20 years (mean 8.1 years). The preoperative pulmonary resistance divided by 2 was used to predict the degree of pulmonary vascular obstructive disease at operation. The influence of elevated pulmonary resistance and the intraoperative postrepair ratio of pulmonary artery to left ventricular pressure on operative and late mortality were examined. The outcome of patients with single pulmonary artery was compared with the outcome of 148 patients with truncus arteriosus and two pulmonary arteries operated on during the same period. Patients with a single pulmonary artery had an operative mortality similar to that of patients with two pulmonary arteries (32 versus 28%, p greater than 0.05). Late mortality was, however, significantly greater (p less than 0.001) for patients with a single pulmonary artery. Elevated ratios of intraoperative postrepair pulmonary artery to left ventricular pressure were associated with significantly higher (p less than 0.02) operative and late mortality, but elevated preoperative pulmonary resistance was not (p greater than 0.10). Truncus arteriosus with single pulmonary artery is associated with poor postoperative survival, and although elevated pulmonary resistances preoperatively did not predict outcome, elevated intraoperative postrepair pulmonary artery to left ventricular pressure ratios were associated with increased operative and late survival, suggesting a deleterious role of pulmonary hypertension. |
| | |
Authors:
|
D A Fyfe; D J Driscoll; R M Di Donato; F J Puga; G K Danielson; D C McGoon; D D Mair |
Related Documents
:
|
1747277 - Responsiveness of raised pulmonary vascular resistance to oxygen assessed by pulsed dop... 19864447 - Hypertrophic remodeling of subcutaneous small resistance arteries in patients with cush... 6438697 - Influence of cyclooxygenase blockade on responses to isoproterenol, bradykinin and nitr... 1513967 - Benefit from long-term o2 therapy in chronic obstructive pulmonary disease patients. 12095397 - Effect of linsidomine on the human radial artery. 9130127 - Surgical management of aortic regurgitation associated with ventricular septal defect. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of the American College of Cardiology Volume: 5 ISSN: 0735-1097 ISO Abbreviation: J. Am. Coll. Cardiol. Publication Date: 1985 May |
Date Detail:
|
Created Date: 1985-05-29 Completed Date: 1985-05-29 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 8301365 Medline TA: J Am Coll Cardiol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 1168-72 Citation Subset: IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Arterial Occlusive Diseases / etiology, physiopathology*, surgery Blood Pressure Child Child, Preschool Humans Infant Postoperative Period Pulmonary Artery / physiopathology*, surgery Pulmonary Circulation Truncus Arteriosus, Persistent / complications, physiopathology, surgery* Vascular Resistance* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Noninvasive assessment of left and right ventricular filling in myocardial infarction with a two-dim...
Next Document: Prevalence of mitral valve prolapse in normal children.