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
- 2015.1
- 수록면
- 228 - 232 (5page)
이용수
초록· 키워드
오류제보하기
Background: Late complications after Fontan procedure may be due to the absence of pump and pulsatile pulmonary blood flowin this type of palliation. Our aim was to quantify the degree of pulsation by echocardiographic method in patients with extracardiactotal cavopulmonary connection (ECTCPC) in comparison with biventricular circulation and few cases of pulsatile Fontan.
Methods: In a case series study, pulsatility index (PI) derived by echocardiographic method were compared between 20 patientswith ECTCPC, 6 patients with pulsatile Fontan and 18 normal individual aged 4 to 20 years old. All patients were in New YorkHeart Association class of I and there was no report of complication.
Results: In patients with ECTCPC pulmonary artery branches Doppler flow study showed lower peak and mean velocitiescompared to the pulsatile Fontan and normal groups. ECTCPC patients had PI of 0.59 ± 0.14 and 0.59 ± 0.09 for right and leftpulmonary arteries (RPA and LPA) respectively. PI was higher in patients with preserved antegrade flow (RPA PI = 0.94 ± 0.26,LPA PI = 0.98 ± 0.27) and in normal individuals (RPA PI = 1.59 ± 0.12, LPA PI = 1.64 ± 0.17) for both branches (p = 0.000).
Conclusion: Using a Doppler derived index for pulsatility, patients with ECTCPC had the least pulsation. The pulmonary arteryflow pattern in patients with preserved antegrade flow showed higher pulsatility indices in both branches. Normal individualshad the greatest pulsatility index.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Berdat PA / 2005 / Additional pulmonary blood flow has no adverse effect on outcome after bidirectional cavopulmonary anastomosis / Ann Thorac Surg 79 : 29 ~ 36
Ghoreyshi M / 2012 / Numerical investigation of antegrade flow effects on flow pulsations in Fontan operation / Int J Biomed Eng Technol 10 : 221 ~ 238
Gray RG / 2007 / Persistent antegrade pulmonary blood flow post-Glenn does not alter early post-Fontan outcomes in single-ventricle patients / Ann Thorac Surg 84 : 888 ~ 893
Hager A / 2008 / Pulmonary blood flow patterns in patients with Fontan circulation / Ann Thorac Surg 85 : 186 ~ 191
Houlind K / 1999 / Pulmonary and caval flow dynamics after total cavopulmonary connection / Heart 81 : 67 ~ 72
Ghoreyshi M / 2012 / Numerical investigation of antegrade flow effects on flow pulsations in Fontan operation / Int J Biomed Eng Technol 10 : 221 ~ 238
Gray RG / 2007 / Persistent antegrade pulmonary blood flow post-Glenn does not alter early post-Fontan outcomes in single-ventricle patients / Ann Thorac Surg 84 : 888 ~ 893
Hager A / 2008 / Pulmonary blood flow patterns in patients with Fontan circulation / Ann Thorac Surg 85 : 186 ~ 191
Houlind K / 1999 / Pulmonary and caval flow dynamics after total cavopulmonary connection / Heart 81 : 67 ~ 72
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