지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 18 - 22 (5page)
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초록· 키워드
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Background: Isolated pulmonary valve stenosis (PS) makes up 6-9% of all congenital heart defects among children. The initial gold standard for diagnosis, follow-up of PS is by echocardiography. However, the most accurate diagnosis still remains to be measurement of the pressure gradient through transcatheterization. The purpose of this study is to compare the difference between the echocardiographic data to the cardiac catheterization data on the diagnosis, treatment, and follow-up in patients diagnosed as PS, and to see what parameters should be closely monitored.
Methods: A total of 112 patients (Male : Female = 46 : 66) who underwent balloon pulmonary valvuloplasty (BPV) at Severance Cardiovascular Hospital, between December, 2002 to August, 2012 were retrospectively analyzed. The patients were all under 16 years of age and critical PS patients who underwent BPV were excluded from this study.
Results: The pre-BPV right ventricle (RV)-pulmonary artery (PA) systolic pressure gradient and post-BPV systolic pressure gradient showed statistically significant decrease. The pre-BPV RV-PA systolic pressure gradient and 3 month post-BPV systolic pressure gradient showed statistically significant decrease. The consistency between the echocardiographic data and cardiac catheterization data shows statistically significant consistency. The mean pressure gradient and systolic pressure gradient on the echocardiography shows high consistency when comparing with the cardiac catheterization data.
Conclusion: Our study shows that BPV in PS is a safe and effective procedure in children and adolescent. The standard echocardiographic evaluation of PS, during diagnosis and follow-up, should include mean transpulmonic pressure gradient, as well as the peak systolic pressure gradient. The success of the procedure should be held off until at least 3 months, only if the patients do not show any symptoms.
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참고문헌 (18)
참고문헌 신청
Berman W Jr / 1999 / Significant pulmonary valve incompetence following oversize balloon pulmonary valveplasty in small infants: a long-term follow-up study / Catheter Cardi
Fitzgerald KP / 2011 / The pulmonary valve / Cardiol Clin 29 : 223 ~ 227
Gielen H / 1999 / Natural history of congenital pulmonary valvar stenosis: an echo and Doppler cardiographic study / Cardiol Young 9 : 129 ~ 135
Hatem DM / 2004 / Short- and long- term results of percutaneous balloon valvuloplasty in pulmonary valve stenosis / Arq Bras Cardiol 82 : 221 ~ 227
Holzer RJ / 2012 / Safety and efficacy of balloon pulmonary valvuloplasty: a multicenter experience / Catheter Cardiovasc Interv 80 : 663 ~ 672
Fitzgerald KP / 2011 / The pulmonary valve / Cardiol Clin 29 : 223 ~ 227
Gielen H / 1999 / Natural history of congenital pulmonary valvar stenosis: an echo and Doppler cardiographic study / Cardiol Young 9 : 129 ~ 135
Hatem DM / 2004 / Short- and long- term results of percutaneous balloon valvuloplasty in pulmonary valve stenosis / Arq Bras Cardiol 82 : 221 ~ 227
Holzer RJ / 2012 / Safety and efficacy of balloon pulmonary valvuloplasty: a multicenter experience / Catheter Cardiovasc Interv 80 : 663 ~ 672
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