QUANTITATIVE EVALUATION OF PULMONARY REGURGITATION AFTER REPAIR OF TETRALOGY OF FALLOT USING REAL-TIME FLOW IMAGING SYSTEM

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概要

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• Real-time flow imaging of pulmonary regurgitation (PR) by two-dimensional pulsed Doppler echocardiography was performed in 34 patients after repair of tetralogy of Fallot. The right ventricle and pulmonary artery were demonstrated in the parasternal short axis view and PR flow was visualized. The image was frozen when the velocity of regurgitant flow was maximum at the level of the pulmonary valve. Pulmonary regurgitant area index (PRAI) was calculated from planimetric measurement of the area where PR flow was expressed. Grading of PR (1 to 3) was independently attempted according to the extension of PR flow detected in pulmonary artery by a rangegated pulsed Doppler echocardiography. PRAI (cm^2/m^2) was 0.36±0.29 (mean±standard deviation) in grade 1, 1.48±0.46 in grade 2, and 2.80±0.94 in grade 3. Severity of PR (grade 1 to 3) was also rated on the basis of the pulmonary arteriography and compared with PRAI. PRAI was 0.64±0.60 in grade 1, 1.07±0.63 in grade 2, and 2.21±1.67 in grade 3, respectively. RPAI showed strong correlation with pulmonary regurgitant fraction measured by videodensitometric study of right ventriculography (r=0.84). Quantitative evaluation of PR using real-time flow imaging system is a reliable and useful method.

• 社団法人日本循環器学会の論文
• 1989-07-20

著者

• 有沢 淳

  大阪大学放射線科

• 有沢 淳

  大阪大学医学部放射線科

• Nakano Susumu

  Department Of Advanced Cardiovascular Therapeutics Osaka University Graduate School Of Medicine

• Kawashima Yasunaru

  First Dept. of Surgery & Dept. of Radiology, Osaka University Hospital

• Matsuda Hikaru

  First Dept. of Surgery, Osaka Unlv School of Med

• Kawashima Yasunaru

  Division Of Cardiovascular Surgery Osaka Minami National Hospital

• Kobayashi Junjiro

  First Department Of Surgery Osaka University Hospital

• Nakano Susumu

  First Department of Surgery, Osaka Medical School University

• ARISAWA Jun

  Department of Radiology, Osaka University Medical Sxhool

• Kawashima Yasunaru

  First Department Of Surgery Osaka University Medical School

• Arisawa Jun

  First Department Of Surgery Osaka University Medical School

• Arisawa Jun

  Department Of Radiology Osaka University Medical Sxhool

• Arisawa Jun

  Department Of Diagnostic Radiology Himedic Clinic West Medical Corporation

• Katsube Yoshiki

  The First Department of Medicine and the Department of Medical Information Science

• Matsuda Hikaru

  First Department Of Surgery And Department Of Pediatric Surgery Osaka University Medical School

• Kawashima Y

  First Department Of Surgery And Department Of Physiological Chemistry Osaka University Medical Schoo

• Nakano Susumu

  First Department Of Surgery Osaka University Medical School

• Kawashima Yasunaru

  First Department Of Surgery And Department Of Physiological Chemistry Osaka University Medical Schoo

• Arisawa Jun

  Departments Of Radiology Surgery And Pediat-rics Osaka University

• Kobayashi Yasuhiko

  Division Of Cardiovascular Surgery Osaka Minami National Hospital

• Arisawa Jun

  Department Of Radiology Osaka University Medical School

• Kawashima Yasunaru

  1st Department Of Surgery Osaka University Medical School

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• 心血管造影により診断しえた僧帽弁穿孔の1例

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