TY - JOUR
T1 - Consequences of a hypertensive right ventricle on left ventricular performance of patients with pulmonary atresia and intact ventricular septum after right heart bypass surgery
AU - Tanoue, Yoshihisa
AU - Kado, Hideaki
AU - Ushijima, Tomoki
AU - Tominaga, Ryuji
PY - 2010/5/1
Y1 - 2010/5/1
N2 - A hypertensive right ventricle adversely affects left ventricular function in patients who are Fontan candidates with pulmonary atresia with intact ventricular septum (PAIVS). Decompression of a hypertensive right ventricle should improve left ventricular performance. Recently, a right ventricular outflow tract reconstruction, the closed Brock procedure, and/or percutaneous balloon pulmonary valvuloplasty were performed to decompress the hypertensive right ventricle before and during the bidirectional Glenn procedure in Fontan-candidate patients with PAIVS in our hospital. This strategy significantly improved left ventricular performance (contractility and ventricular efficiency) after the bidirectional Glenn procedure and a staged total cavopulmonary connection.
AB - A hypertensive right ventricle adversely affects left ventricular function in patients who are Fontan candidates with pulmonary atresia with intact ventricular septum (PAIVS). Decompression of a hypertensive right ventricle should improve left ventricular performance. Recently, a right ventricular outflow tract reconstruction, the closed Brock procedure, and/or percutaneous balloon pulmonary valvuloplasty were performed to decompress the hypertensive right ventricle before and during the bidirectional Glenn procedure in Fontan-candidate patients with PAIVS in our hospital. This strategy significantly improved left ventricular performance (contractility and ventricular efficiency) after the bidirectional Glenn procedure and a staged total cavopulmonary connection.
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U2 - 10.1016/j.ppedcard.2010.02.004
DO - 10.1016/j.ppedcard.2010.02.004
M3 - Article
AN - SCOPUS:77951092583
SN - 1058-9813
VL - 29
SP - 43
EP - 48
JO - Progress in Pediatric Cardiology
JF - Progress in Pediatric Cardiology
IS - 1
ER -