Postoperative Long-Term Results in Total Correction of Tetralogy of Fallot : with Special Reference to Method and Degree of Relief of Right Ventricular Outflow Tract Obstruction
スポンサーリンク
概要
- 論文の詳細を見る
late results were studied in 63 patients who underwent complete repair of tetralogy of Fallot. Mild pulmonary stenosis (PS) was present in 73%, moderate PS in 17% and severe PS in 10 of the patients. When a transannular patch was used, wider enlargement of the pulmonary annulus did not always relate to a decrease in right ventricular pressure and right ventricular to pulmonary artery pressure gradient in the late postoperative period. Pulmonary regurgitation (PR) of grade 2 or less did not relate to the late postoperative hemodynamics and cardiac function. PR of grade 3 or over led to right ventricular and pulmonary artery hypertension, and to increases in right ventricular end-diastolic volume and CTR. PR of grade 4 impaired left ventricular function. PR of grade 3 or over with moderate PS led to elevation in right ventricular end-diastolic pressure. In patients with mild PS and PR of grade 2 or less, late postoperative hemodynamics and cardiac function were excellent. To maintain excellet postoperative hemodynamics and cardiac function, it is imperative to obtain PR of grade 2 or less and to use a procedure which will lead to excellent development of the pulmonary annulus. In conventional procedures using a transannular patch, a CSAI of less than 2.5 cm^2/m^2 and precise coaptation between the original pulmonary cusp and the cusp mounted on the patch will aid in avoiding significant PR.
- 社団法人日本循環器学会の論文
- 1986-09-20
著者
-
Shirotani Hitoshi
Cardiac Surgical Unit Kinki University Hospital
-
Hara Satoshi
First Department Of Surgery Kinki University School Of Medicine
-
Hara S
First Department Of Surgery Kinki University School Of Medicine
-
OKU HIDETAKA
Department of Cardiovascular Surgery, Kinki University School of Medicine
-
Oku Hidetaka
Cardiac Surgical Unit, Kinki University Hospital
-
SHIROTANI Hitoshi
Department of Cardiovascular Surgery, Kinki University School of Medicine
-
SUNAKAWA Akio
Department of Cardiovascular Surgery, Kinki University School of Medicine
-
YOKOYAMA Tatsuo
Department of Cardiovascular Surgery, Kinki University School of Medicine
-
Yokoyama Tatsuro
Division Of Pediatric Cardiology Kinki University School Of Medicine
-
Yokoyama Tatsuo
Cardiovasc. Unit. Hyogo-kenritsu Amagasaki Hosptial.
-
Oku Hidetaka
Department Of Cardiac Surgery
-
Oku Hidetaka
Hyogo Kenritsu Amagasaki Hospital Division Of Cardiovascular Surgery
-
Shirotani Hitoshi
Department Of Cardiovascular Surgery Kinki University School Of Medicine
-
Sunakawa Akio
Division Of Pediatric Cardiology Kinki University School Of Medicine
-
Yokoyama Tatsuo
The Heart Institute Hyogo Kenritsu Amagasaki Hospital
-
Oku Hidetaka
Cardiac Surgical Unit Kinki University Hospital
-
Hashimoto S
Niigata Univ. Niigata Jpn
-
Hiruma Shingo
The Second Department Of Pathology Kinki University School Of Medicine
-
Tatsumi Yoshio
Heart Institute Hyogo Kenritsu Amagasaki Hospital
-
Shirotani Hitoshi
Heart Institute Amagasaki Hospital
-
Shirotani Hitoshi
Department Of Cardiovascular Surgery Hyogo Kenritsu Amagasaki Hospital
-
Tatsumi Yoshio
The Heart Institute Hyogo Kenritsu Amagasaki Hospital
-
Shirotani Hitoshi
Hyogo Kenritsu Amagasaki Hospital Division Of Cardiovascular Surgery
-
Tatsumi Yoshio
Division Of Pediatric Cardiology Kinki University School Of Medicine
関連論文
- Modified Ultrafiltration May Improve Postoperative Pulmonary Function in Children with a Ventricular Septal Defect
- Prolonged Survival after Surgical Treatment of a Primary Cardiac Lymphoma
- Cardioprotective Effects of Lowering Oxygen Tension After Aortic Unclamping on Cardiopulmonary Bypass During Coronary Artery Bypass Grafting
- Postischemic Reperfusion Injury Can Be Attenuated by Oxygen Tension Control
- Leiomyomatosis in pelvic lymph nodes : case report and differential diagnoses
- Retrospective analysis of terminal hepatocellular carcinoma based on laboratory findings
- A intravascular papillary endothelial hyperplasia of the lip with expressing vascular endothelial growth factor
- A case of malignant transformation in thoracic vertebral hemangioma following repetitive irradiation and extraction
- EXPERIENCE WITH VALVED CONDUITS FOR REPAIR OF COMPLICATED CARDIAC ANOMALIES : Congenital heart disease : FREE COMMUNICATIONS (Abstract) : 45 Annual Scientific Meeting, Japanese Circulation Society
- Natural History and Postoperative Evaluation of Complete Transposition of the Great Arteries : Natural History and Postoperative Course of Congenital Heart Diseases
- SURGICAL TREATMENT FOR MITRAL REGURGITATION ASSOCIATED WITH ACYANOTIC CONGENITAL CARDIAC ANOMALIES : Cardiac Surgery: Valvular and Congenital Heart Disease : PROCEEDINGS OF THE 44th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Coronary Artery Bypass Grafting Following Substernal Gastric Interposition
- Occurrence of Long-spacing Collagen in the Intramuscular Nerves of Biopsied Muscle Tissues
- Primary cardiac lymphoma as a complication of Sjogren's syndrome
- The significance of bivatiate cytokeratin and DNA flow cytometry in paraffin-embedded specimens of non-small cell lung cancer
- Liver and lung metastases from colorectal carcinoma : analysis of DNA ploidy and proliferative activity by flow cytometry
- Timing of Surgical Treatment for Active Native Valve Endocarditis
- A coin lesion due to pulmonary infarction : a case report
- An experience of sleeve lobectomy for metastatic lung tumor from rectal cancer
- FACTORS AFFECTING BIVENTRICULAR FUNCTION FOLLOWING SURGICAL REPAIR OF TETRALOGY OF FALLOT
- Postoperative Long-Term Results in Total Correction of Tetralogy of Fallot : with Special Reference to Method and Degree of Relief of Right Ventricular Outflow Tract Obstruction
- RECONSTRUCTION OF PULMONARY ARTERY WITH SUBSTITUTE VALVE : With Special Reference to Size of Conduit and Valve
- ANGIOCARDIOGRAPHIC EVALUATION OF VENTRICULAR SEPTAL DEFECT : Pre- and Post-operative Cardiac Volume Characteristics
- SURGICAL CORRECTION OF VALVE DISEASE IN THE CHILDREN : Congential Heart Disease : 46th Annual Scientific Meeting, Japanese Circulation Society
- SURGICAL RESULTS AND FACTORS AFFECTING OPERATIVE MORTALITY IN TOTAL ANOMALOUS PULMONARY VENOUS DRAINAGE
- ANATOMICALLY CORRECTED MALPOSITION OF THE GREAT ARTERIES : Case Reports and a Review
- Successful Surgical Repair of Corrected Transposition of the Great Arteries (S, L, L, ) with Ventricular Septal Defect and Regurgitation of the Left Atrioventricular Valve. A Case Report
- CARDIAC VOLUME BEFORE AND AFTER SURGERY IN TOTAL ANOMALOUS PULMONARY VENOUS RETURN : Cardiac Surgery: Valvular and Congenital Heart Disease : PROCEEDINGS OF THE 44th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Total Correction of Congenital Heart Disease Using Deep Hypothermia and Complicated Cardiac Anomalies
- 61) Successful Total Repair of Taussig-Bing Malformation. : 第41回日本循環器学会近畿地方会
- 70) Case report : One stage correction of complicated cardiac anomalies with asplenia syndrome : endocardial cushion defect, total anomalous pulmonany venous drainage, d-loop double-Outlet right ventricle with d-transposition and pulmonary stenosis : 第39回
- Ischemic Preconditioning and Nicorandil Pretreatment Improve Donor Heart Preservation
- CAF versus CAF plus Medroxyprogesterone Acetate for Treatment of Liver Metastases of Breast Cancer
- Successful Planned Pregnancy in a Patient With St Jude Medical Prosthetic Mitral Valve
- Successful Pregnancy in a Patient With Double Outlet Left Ventricle After a Rastelli Operation Using a Prosthetic Valve
- Clinical Studies on Capacitosphygmogram of Children : PROCEEDINGS OF THE 25TH ANNUAL MEETING JAPANESE CIRCULATION SOCIETY (Part II)
- Endocrine therapy sensitivity test for breast cancer using collagen gel droplet embedded culture
- Acute Adrenocortical Insufficiency after the Operation for Closure of VSD : 第34回日本循環器学会近畿地方会
- Coronary Artery Bypass Grafting in Octogenarians
- An autopsy case of cystic brain anomaly and acrania caused by amniotic band syndrome
- Application of the monoclonal rat brain actin to the normal rat brain : immunoflorescence and electron immunogold methed
- Ischemic changes of cytoskeletons in the gerbil brain, especially actin.
- Successful Prcduction of Monoclonal Antilbody to Rat Brain Actin with HVJ M Protein Complex
- Production of anti-type IV collagen antibody and its immunohistochemical application to normal rat kidney
- Histological study of a surgically excised leiomyomatous tumor of the duodenum in a case of von Recklinghausen disease
- Total Correction for Congenital Heart Disease Associated with Severe Pulmonary Hypertension
- ANALYSIS OF 194 AUTOPSY CASES OF ASPLENIA SYNDROME FOR NINE YEARS (1965-1973) IN JAPAN : IInd Auditorium : PROCEEDINGS OF THE 40TH ANNUAL MEETING OF THE JAPANESE CIRCULATION SOCIETY
- ONE-STAGE TOTAL CORRECTION IN INFANCY FOR SEVERE CONGENITAL HEART DISEASES : PROCEEDINGS OF THE 38TH ANNUAL MEETING OF THE JAPANESE CIRCULATION SOCIETY
- VENTRICULAR SEPTAL DEFECT IN INFANCY (I) : Proceedings of the 34th Annual Meeting of the Japanese Circulation Society (Part I)
- Morphology of the myoepithelium and the basement membrane in the benign and the malignant condition of the breast : an aid for pathological diagnosis
- A light and electron microscopical study on the dynamics and the resolution of brain edema fluid around the infarction in rat brain
- Effects of various collagens and growth factors on proliferation of meningeal sarcoma cells (MS147)
- Research on lectins as a marker of brain vascular endothelium in various animal species
- An immunohistochemical study of actin filaments in capillary endothelial cells of rat cerebrum
- A Surgical Case of Both Cystic Glioma and Teratoid Tumor with Juxtaposition in the Cerebral Hemisphere of a Young Child
- Immunohistochemical changes of the ischemic heart muscle fibers with anti-actin antibodies
- A Case of Vitamin B_6 Deficiency in a Chronic Alcoholist : Histopathological Study on Biopsied Specimens of Peripheral Nerve and Skeletal Muscle Tissues
- Management of intractable bleeding in cardiac surgery
- Initial knowledge of pine moth disease of chest wall
- Partial Left Ventriculectomy in Association With Dilated Cardiomyopathy : Echocardiographic Follow-Up
- Coronary artery bypass grafting and right femoro-popliteal bypass in a chronic hemodialysis patient : a case report
- Congenital adrenogenital syndrome with congenital mitral stenoinsufficiency
- A case of cerebral cysticercosis cellulosae hominis
- Morphological study on alveolar damage due to NO_2 inhalation in aging rats
- Carcinoma of the urinary bladder with a lymphomatous appearance
- Neuronal Changes in Cases of Non-Suppurative Inflammatory Myopathies
- Nemaline bodies of skeletal muscle fibers of the neck in a case of pharyngeal cancer
- Results over a Two-year Period in Complete Transposition of the Great Arteries After Mustard's Procedure : Symposium on Long-term Results Following Surgical Operation of Heart Disease
- Histological Studies on Local Circulatory Disturbances Causing Various Renal Disorders (III) : Interrelationships among Intrarenal Angiospasm, Intrarenal Blood Distribution and Renin Granules