Document Detail


Ventricular diastolic pressure-volume relations after the intra-atrial baffle operation for transposition of the great arteries.
MedLine Citation:
PMID:  7136996     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Right and left ventricular diastolic pressure-volume (P-V) relations were assessed in 30 patients approximately 2 years after the Mustard operation. The overall distensibility index (delta V/ delta P), the compliance index at end-diastole (dv/dp), and the modulus of ventricular stiffness (Kp) were calculated in all, as well as the half-time of early diastolic pressure fall (T) in 10 cases. Transducer-tipped catheters were used in 15 patients and biplane cineangiography was employed in all. Values for the above indices equal to 2 standard deviations below the mean, obtained from five postoperative Mustard patients with no residual defects, were used as "normals." Seven patients with pulmonary hypertension (PH) and six with pulmonic stenosis (PS) were found to have impaired P-V relations. The impairment was more profound in the PH group. Delta v/delta p and dv/dp were abnormal in six of seven patients for both ventricles and T was abnormal in two of five. Kp was abnormal for the LV, and the RV ejection fraction was diminished. In the PS group (nine patients) the impairment was milder, affecting more than LV and end-diastole (dv/dp). Compliance studies might be useful in patients with LV afterload problems following the Mustard operation.
Authors:
E B Sideris; P M Olley; E Spooner; M Farina; R Shaher
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American heart journal     Volume:  104     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1982 Nov 
Date Detail:
Created Date:  1982-12-16     Completed Date:  1982-12-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1045-53     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
Compliance
Diastole
Heart / physiopathology*
Heart Catheterization
Heart Ventricles / physiopathology
Hemodynamics
Humans
Infant
Infant, Newborn
Methods
Pressure
Stroke Volume
Transposition of Great Vessels / physiopathology,  surgery*

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


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