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Ventricular Septal Dysfunction After Surgical Closure of Multiple Ventricular Septal Defects.
MedLine Citation:
PMID:  23895887     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: We assessed the global and regional ventricular septal functions using conventional echocardiography and two-dimensional speckle tracking imaging in children with postoperative multiple ventricular septal defects.
METHODS: Thirty-six children were studied: 16 with postoperative multiple ventricular septal defects and 20 normal control subjects. In children with multiple ventricular septal defects, 60 ventricular septal defects were closed using one of three different techniques (patch closure, the sandwich technique, direct closure). Speckle tracking imaging was applied to three short-axis echocardiographic images.
RESULTS: The total patch area used in the multiple ventricular septal defects group was correlated with the postoperative ejection fraction (r = 0.703) and Tei index (r = 0.778). The global septal peak systolic radial displacement and global septal peak systolic radial strain in the multiple ventricular septal defects group were significantly lower than those observed in the control subjects. The peak systolic radial strain in the segments closed with patches and the peak systolic radial displacement in the segments closed with the felt sandwich technique were significantly lower than those observed in the intact septal segments. No significant regional functional depressions were identified in the segments that were closed directly.
CONCLUSIONS: The postoperative ventricular global and septal functions were significantly reduced in children with multiple ventricular septal defects, especially in the cases with complex congenital heart disease and that were closed with large prosthetic materials. These results suggest that an effort to minimize the use of patch materials may lead to preserved postoperative ventricular function.
Authors:
Hironori Matsuhisa; Naoki Yoshimura; Tomonori Higuma; Takuro Misaki; Yoshiko Onuma; Fukiko Ichida; Yoshihiro Oshima; Yutaka Okita
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-7-26
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  -     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-7-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2013 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Affiliation:
First Department of Surgery, University of Toyama, Graduate School of Medicine, Toyama, Japan. Electronic address: matsuhisa_kch@hp.pref.hyogo.jp.
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