Echocardiographic analysis of ventricular geometry and function during repair of congenital septal defects

Hart, Joseph P.; Cabreriza, Santos E.; Walsh, Rowan; Printz, Beth F.; Blumenthal, B.; Park, David K.; Zhu, April J.; Gallup, Cecily G; Weinberg, Alan; Hsu, Daphne T.; Mosca, Ralph S.; Quaegebeur, Jan M.; Spotnitz, Henry M.

doi:10.1016/s0003-4975(03)01328-6

Cited by 21 publications

(17 citation statements)

References 19 publications

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“…In our study, the increase in PER during the 1-year follow-up may be due to increased preload, due to remodeling of LV after cessation of RV volume overload, or due to normalization of septal motion [9,35]. LV contractility (FS, EF) did not differ from controls before or after ASD closure in either treatment group.…”

Section: Discussionmentioning

confidence: 46%

Hemodynamic improvement is faster after percutaneous ASD closure than after surgery

Eerola

Pihkala

Boldt

et al. 2006

Cathet Cardio Intervent

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During 1-year follow-up after ASD closure, RV size decreases but does not normalize in all patients. The size of the LV normalizes after ASD closure but the increase in LV size is slower in patients treated surgically. Serum levels of ANPN and proBNP are elevated prior to ASD closure but decrease thereafter to control levels in patients treated with the percutaneous technique but not in those treated surgically.

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Section: Discussionmentioning

confidence: 46%

Hemodynamic improvement is faster after percutaneous ASD closure than after surgery

Eerola

Pihkala

Boldt

et al. 2006

Cathet Cardio Intervent

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“…4,5 In this study, we sought to define P-A relations at the time of the Fontan procedure and to correlate results with early postoperative outcomes, hoping to gain insight into optimization of perioperative management.…”

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confidence: 99%

Ventricular Diastolic Stiffness Predicts Perioperative Morbidity and Duration of Pleural Effusions After the Fontan Operation

et al. 2006

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Background-We validated the clinical relevance of ventricular stiffness by examining surgical morbidity in children with univentricular hearts undergoing Fontan operation. We hypothesized that ventricular stiffness affects Fontan morbidity, particularly duration of pleural effusions. Methods and Results-Sixteen children with right ventricular (RV) (n ϭ11) or left ventricular (LV) (n ϭ5) dominance were studied intraoperatively at a median age of 3.3 years (1.8 to 5.1). Transesophageal long-axis echocardiograms and ventricular pressure by micromanometer provided end-diastolic pressure (P) area (A) relations during initiation and conclusion of cardiopulmonary bypass. Curve fitting to the equation Pϭ␣e ␤A defined the ventricular stiffness constant, ␤. Changes in ␤ and clinical correlations were examined. Ventricular stiffness increased after bypass in patients with complete pre-bypass and post-bypass data (n ϭ11, Pϭ0.023, mixed models methodology). Pre-bypass ␤ correlated well with duration of chest tube (CT) drainage (rϭ0.90, n ϭ16), net perioperative fluid balance (rϭ0.71, nϭ14), and length of stay (LOS) (rϭ0.81, n ϭ16). CT duration and LOS also correlated significantly with post-bypass ␤ (rϭ0.77 for both, nϭ11), but insignificantly with preoperative catheterization pressures. Conclusions-Intraoperative

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“…The recovery of right ventricle (RV) and right atrium (RA) sizes after surgical and percutaneous ASD closure have also been described [6,12,14,17]. These parameters return to normal values in 90% of surgical patients.…”

Section: Introductionmentioning

confidence: 99%

“…These alterations depend on various factors, e.g., relaxation, contractility, compliance and filling of the atria and ventricles [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Comparison of cardiac function in children after surgical and Amplatzer occluder closure of secundum atrial septal defects

Pawelec-Wojtalik

Wojtalik

Mrówczyński

et al. 2006

European Journal of Cardio-Thoracic Surgery

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Echocardiographic analysis of ventricular geometry and function during repair of congenital septal defects

Cited by 21 publications

References 19 publications

Hemodynamic improvement is faster after percutaneous ASD closure than after surgery

Hemodynamic improvement is faster after percutaneous ASD closure than after surgery

Ventricular Diastolic Stiffness Predicts Perioperative Morbidity and Duration of Pleural Effusions After the Fontan Operation

Comparison of cardiac function in children after surgical and Amplatzer occluder closure of secundum atrial septal defects

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