Right Ventricular Systolic Performance Before and After Surgery for Tricuspid Regurgitation Associated With Mitral Stenosis
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概要
- 論文の詳細を見る
The reversibility of right ventricular function in patients with mitral stenosis associated with secondary tricuspid regurgitation(TR)is as yet undetermined. We assessed the right ventricular systolic performance by cardiac catheterization before and 19 months after surgery in 18 patients who underwent DeVega's tricuspid annuloplasty plus mitral valve replacement(MS plus TR group)and in 9 with mitral valve replacement for isolated mitral stenosis(MS group). After surgery, the right ventricular systolic pressure decreased significantly in both groups(both p<0.01). In the MS plus TR group, the postoperative right ventricular end-diastolic and end-systolic volume indices(RVEDVI and RVESVI, respectively)were significantly decreased compared with the respective preoperative values(both p<0.001). No significant difference was noted between the groups with regard to the right ventricular peak-systolic pressure/end-systolic volune index ratio(RVPSP/ESVI)either before of after surgery. Various left ventricular indices were comparable between the groups both before and after surgery. Linear regression analysis revealed significant correlations between RVEDVI and the RVPSP/ESVI, and between RVPSP and the RVPSP/ESVI both before and after surgery. These results indicate that right ventricular systolic performance in patients with MS plus secondary TR became comparable to those that in patients with isolated MS after surgery, and that this was probably due to nearly equivalent right ventricular contractility before surgery.
- 社団法人日本循環器学会の論文
- 1996-01-20
著者
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Eguchi S
Department Of Thoracic And Cardiovascular Surgery Niigata University School Of Medicine
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EGUCHI SHOJI
Niigata University School of Medicine
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Nakazawa Satoshi
The Second Department Of Surgery Niigata University School Of Medicine
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EGUCHI SHOJI
The 2nd Dep. of Surgery
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Miyamura Haruo
Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine
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Hayashi Jun-ichi
The Second Department of Surgery Niigata University School of Medicine
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Okazaki Hirofumi
The Second Department of Surgery Niigata University School of Medicine
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Watanabe Hiroshi
The Second Department of Surgery Niigata University School of Medicine
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Miyamura Haruo
The Second Department of Surgery Niigata University School of Medicine
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Eguchi Shoji
The Second Department of Surgery Niigata University School of Medicine
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Hayashi Junichi
The Department Of Thoracic And Cardiovascular Surgery Niigata University School Of Medicine
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Eguchi Shoji
The Second Department Of Surgery Of Niigata School Of Medicine
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Eguchi Shoji
Second Department Of Surgery Niigata University School Of Medicine
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Hayashi Jun-ichi
The Second Department Of Surgery University Of Niigata Faculty Of Medicine
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Eguchi Shoji
The Second Department Of Surgery Niigata University
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Eguchi Shoji
Department Of Molecular Design And Engineering Nagoya University
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Eguchi Shoji
The 2nd Department Of Surgery Niigata University School Of Medicine
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Hayashi Jun-ichi
Division Of Thoracic And Cardiovascular Surgery Niigata University Graduate School Of Medical And De
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Hayashi Jun-ichi
Division Of Thoracic And Cardiovascular Surgery Niigata University Graduate School Of Medical And De
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Hayashi Jun-ichi
Division Of Cardiovascular And Thoracic Surgery Department Of Cardiovascular And Vital Control Gradu
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Hayashi Junichi
Department Of Thoracic And Cardiovascular Surgery Niigata University Graduate School Of Medical And
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Watanabe Hiroshi
Division Of Thoracic And Cardiovascular Surgery Niigata University Graduate School Of Medical And De
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Watanabe Hiroshi
The Second Department Of Internal Medicine Tohoku University School Of Medicine
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