Document Detail

Usefulness of left ventricular volume in assessing tetralogy of Fallot for total correction.
MedLine Citation:
PMID:  4025178     Owner:  NLM     Status:  MEDLINE    
Ninety-one patients with tetralogy of Fallot underwent intracardiac repair between 1978 and 1981. One patient died from left-sided heart failure. Retrospective analyses of this death revealed a significant decrease of the left ventricular (LV) end-diastolic volume index (EDVI) of 21 ml/m2 (36% of normal). Results of early postoperative hemodynamic studies after total correction of this anomaly suggested that an EDVI of 30 ml/m2 is the minimal requirement for adequate cardiac output postoperatively. Based on these data, 3 patients with decreased LV volume with EDVI of around 30 ml/m2 were challenged with the primary repair with success, although they required atrial pacing and catecholamine support postoperatively to maintain adequate left atrial pressure and cardiac output. From these results, it is recommended that patients with tetralogy of Fallot and an EDVI of 30 ml/m2 or more can be considered as candidates for the primary repair, but that patients with an EDVI of less than 30 ml/m2 should be palliated once by systemic-to-pulmonary arterial shunt procedures. Subsequent total correction should be performed after sufficient LV growth for those patients.
Y Naito; T Fujita; T Yagihara; F Isobe; F Yamamoto; K Tanaka; H Manabe; O Takahashi; T Kamiya
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  56     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1985 Aug 
Date Detail:
Created Date:  1985-08-27     Completed Date:  1985-08-27     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  356-9     Citation Subset:  AIM; IM    
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MeSH Terms
Cardiac Output
Cardiac Volume*
Child, Preschool
Postoperative Period
Stroke Volume
Tetralogy of Fallot / physiopathology,  surgery*
Ventricular Function

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

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