RIGHT AND LEFT VENTRICULARVOLUME CHARACTERISTICS IN CHILDREN WITH TRANSPOSITION OF THE GREAT ARTERIES AFTER MUSTARD'S PROCEDURE
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概要
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With use of biplane cine-angiocardiograms, the measurements of right and left ventricular volume were determined in 11 children with transposition of the great arteries following Mustard's procedure. Right ventricular end-diastolic volume (RVEDV) ranged from 124 to 264 percent of the normal right ventricular volume with an average of 188 ± 40 (SDM) percent, and left ventricular end-diastolic volume (LVEDV) ranged from 47 to 181 (122 ±43) percent of the normal (p < 0.01, vs. RVEDV). Right ventricular ejection fraction (RVEF) ranged from 0.26 to 0.66 (0.42 ± 0.11), and left ventricular ejection fraction (LVEF) ranged from 0.51 to 0.79 (0.66 ± 0.09) (p < 0.001, vs RVEF). Left ventriculography showed a deviation of the interventricular septum toward the left ventricle in patients with simple transposition of the great arteries not associated with left ventricular hypertension. The left to right ventricular systolic pressure ratio ranged from 0.22 to 1.02 (0.48 ± 0.28), and the left to right ventricular end-diastolic volume ratio ranged from 0.43 to 1.00 (0.63 0.18). There was a high correlation between the left to right ventricular systolic pressure ratio and the left to right ventricular end-diastolic volume ratio (r=0.94, p < 0.001). The left to right ventricular systolic pressure ratio also correlated well with the right ventricular ejection fraction (r=0.90, p < 0.001). Deviation of the interventricular septum was considered to result in a diminished ejection fraction of the right ventricle, in patients with simple transposition of the great arteries not associated with left ventricular hypertension, after Mustard's procedure.
- 1985-07-20
著者
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Sawa Yoshiki
Department Of Surgery Division Of Cardiovascular Surgery Graduate School Of Medicine Osaka Universit
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Kawashima Yasunaru
First Department Of Surgery Osaka University Medical School
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Kawashima Yasunaru
The First Department of Surgery, Osaka University Medical School
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Ogawa Minoru
Department of Pediatrics, Osaka University
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Morimoto Shizuo
Department of Radiolory, Osaka University Medical School
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Kawashima Yasunaru
The First Department Of Surgery Osaka University Medical School
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Hirose Hajime
The First Department of Surgery, Osaka University School of Medicine
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SHIMAZAKI YASUHISA
The First Department of Surgery, Osaka University Medical School
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Kawashima Yasunaru
First Department Of Surgery And Department Of Physiological Chemistry Osaka University Medical Schoo
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Kobayashi Yasuhiko
Division Of Cardiovascular Surgery Osaka Minami National Hospital
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Ogawa Minoru
Department Of Pediatrics Osaka University Medical School
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Morimoto Shizuo
Department Of Radiology Osaka University Medical School
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Kawashima Yasunaru
1st Department Of Surgery Osaka University Medical School
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MIYAMOTO KATSUHIKO
The First Department of Surgery, Osaka University Medical School
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Miyamoto Katsuhiko
The First Department Of Surgery Osaka University Medical School
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Ogawa Minoru
Department Of Pediatrics Osaka University
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Shimazaki Yasuhisa
The First Department Of Surgery Osaka University Medical School
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Kawashima Yasunaru
The First Department of Medicine and the Department of Medical Information Science
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