Long-term Postoperative Status of Tetralogy of Fallot
スポンサーリンク
概要
- 論文の詳細を見る
From 1965 to 1984, 279 patients with tetralogy of Fallot underwent corrective surgery at Niigata University Hospital, and 228 patients were closely followed postoperatively. Late deaths occurred in 12 cases (5.3%), and overall event-free rate at 20 years postoperatively was 76.9%. The most common events were heart failure due to residual cardiac anomaly and symptomatic ventricular arrhythmias. Treadmill test by Ellestad protocol was performed on 74 postoperative patients, 49% of whom could not complete the protocol. These patients had higher RVEDP and lower PVEF than completing patients. Holter ECG was done on 48 long-term postoperative patients, 48% or whom showed complex ventricular arrhythmias. The age at operation was older and postoperative elapsed time was longer in patients with complex ventricular arrhythmias. Although most postoperative TF patients are able to enjoy a normal social life, the treadmill test and Holter ECG revealed that many patients had latent RV dysfunction and complex ventricular arrhythmias with or without significant symptoms. Since the number of symptomatic patients increases after 15 years postoperatively, a regular check-up with cautious observation is important for the patients' care.
- 社団法人日本循環器学会の論文
- 1986-09-20
著者
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Eguchi S
Department Of Thoracic And Cardiovascular Surgery Niigata University School Of Medicine
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Fukuda Junichi
The Second Department Of Surgery Niigata University School Of Medicine
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Fukuda Junichi
Second Department Of Surgery Niigata University School Of Medicine
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Fukuda Jun-ichi
The Second Department Of Surgery Niigata University School Of Medicine
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EGUCHI SHOJI
Niigata University School of Medicine
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MATSUKAWA Tetsunosuke
Second Department of Surgery, Yamanashi Medical College
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Maeda Tatsuro
Second Department Of Internal Medicine Yamanashi Medical College
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EGUCHI SHOJI
The 2nd Dep. of Surgery
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EGUCHI SHOJI
Second Department of Surgery, Niigata University School of Medicine
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MIYAMURA HARUO
Second Department of Surgery, Niigata University School of Medicine
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Miyamura Haruo
Department of Thoracic and Cardiovascular 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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KANAZAWA Hiroshi
Second Department of Surgery, Niigata University School of Medicine
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FUKUDA Jun-ichi
Second Department of Surgery, Niigata University School of Medicine
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MORIKAWA Masatsugu
First Department of Medicine, Niigata University School of Medicine
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AIZAWA Yoshifusa
Second Department of Surgery, Yamanashi Medical College
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Eguchi S
Department Of Molecular Design And Engineering Nagoya University
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Matsukawa T
Department Of Anesthesiology Yamanashi Medical University
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Eguchi Shoji
The Second Department Of Surgery Of Niigata School Of Medicine
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Eguchi Shoji
Dept Of Thoracic And Cardiovascular Surgery Niigata University Hospital
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Eguchi Shoji
Second Department Of Surgery Niigata University School Of Medicine
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Miyamura Haruo
Second Department Of Surgery Niigata University School Of Medicine
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Eguchi Shoji
Department Of Molecular Design And Engineering Nagoya University
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Matsukawa Tetsunosuke
Second Department Of Surgery Yamanashi Medical College
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Matsukawa Tetsunosuke
The Second Department Of Surgery Niigata University School Of Medicine
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Eguchi Shoji
The 2nd Department Of Surgery Niigata University School Of Medicine
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Morikawa Masatsugu
First Department Of Medicine Niigata University School Of Medicine
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Kanazawa Hiroshi
Second Department Of Surgery Niigata University School Of Medicine
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EGUCHI Shoji
Department of Molecular Design and Engineering, Nagoya University
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MAEDA Tatsuro
Second Department of Internal Medicine, Yamanashi Medical College
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