<原著>総肺静脈還流異常症の外科とくに心容積について

概要

論文の詳細を見る
The relationship among cardiac volume, hemodynamics and the surgical results was evaluated in 17 patients with total anomalous pulmonary venous return. The right ventricular volume was greater than the normal and ejection fraction was less than the normal in TAPVR. These did not correlate with the mortality rate. The maximal left atrial volume (LAmax) was consistently small and left ventricular end-diastolic volume (LVEDV) was less than 80% of the predicted normal (PN) in 59% of the patients. The mortality rate was high in the patients with a LAmax of less than 50% of PN and [table] a LVEDV of less than 55% of PN. Postoperative left ventricular volume and ejection fraction gradually improved with time. In the patients with an unusually small left heart, enlargement of the left atrium or delayed ligation of anomalous vertical vein is considered necessary.
近畿大学の論文
1980-12-25