Determinants of right heart size and function in repaired Tetralogy of Fallot

نویسندگان

  • Michael A Quail
  • Ming Chern Leong
  • Oliver Tann
  • Marina Hughes
  • Vivek Muthurangu
  • Andrew Taylor
چکیده

Results RV EDV was positively associated with pulmonary regurgitant (PR) volume (b 0.59, p < 1e), tricuspid regurgitant (TR) volume (b 0.24, p < 1e), body surface area (b 0.08, p < 1e), and age (b 0.20, p < 1e). Significant residual outflow tract stenosis (b -0.10, p = 0.01), branch pulmonary artery stenosis (b -0.09, p = 0.02) and RV EF (b -0.38, p < 1e) were negatively associated with RV EDV (Model, R = 0.81). Initial palliation with a Blalock-Taussig Shunt (b -0.234, p = 0.0001) was associated with lower RV EF. TR volume was associated with higher RV EF (b -0.13, p = 0.03), (Model, R = 0.26); residual outflow tract obstruction was not associated with RV EF. RV ESV had similar associations to RV EDV, except residual outflow tract obstruction and branch PA stenosis were not associated, and RVEF was the most influential covariate (Model, R = 0.83).

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Right ventricular Hemodynamic Alteration after Pulmonary Valve Replacement in Children with Congenital Heart Disease

Introduction:  In patients who underwent surgery to repair Tetralogy of Fallot, right ventricular dilation from pulmonary regurgitation may be result in right ventricular failure, arrhythmias and cardiac arrest. Hence, pulmonary valve replacement may be necessary to reduce right ventricular volume overload. The aim of present study was to assess the effects of pulmonary valve replacement on rig...

متن کامل

بررسی عملکرد بطن‌ها با اکوکاردیوگرافی در نارسایی دریچه ریوی پس از جراحی تترالوژی فالوت

Background: Tetralogy of Fallot is the most common cyanotic congenital heart disease. The systolic and diastolic function in both ventricles is altered even after successful corrective surgery for this defect with a transannular patch. Pulmonary regurgitation, a common complication after this treatment, is usually well tolerated in childhood. The aim of this study was to assess the combined dia...

متن کامل

Assessment of right ventricular function by treadmill exercise stress cardiovascular magnetic resonance in patients with repaired tetralogy of Fallot

Background Cardiac MR (CMR) is considered the gold standard to assess right ventricular (RV) function in different scenarios, including cases of congenital heart disease. Moreover, an MR-compatible treadmill coupled with Real Time (RT) CMR has been developed for stress testing, and may be an optimal choice in this setting. The aims of this study were to determine the feasibility and accuracy of...

متن کامل

Clinical value of Tei index in pediatric patients with repaired tetralogy of Fallot.

PURPOSE Tetralogy of Fallot is a congenital heart disease characterized by underdevelopment of the right ventricular infundibulum. Present study aimed to explore the clinic value of Tei index in assessing right ventricular function of pediatric patients with repaired Tetralogy of Fallot. METHODS A total of 45 pediatric patients with repaired Tetralogy of Fallot were recruited and classified i...

متن کامل

Inter-study variability in CMR measurements of right ventricular volume, mass and ejection fraction in tetralogy of fallot: a prospective observational study

Background Cardiac MRI (CMR) is commonly used for serial monitoring of right ventricular (RV) size and function in patients with repaired tetralogy of Fallot (TOF). However, the inter-study variability of these measurements is not known, which hinders accurate interpretation of serial changes. In this study we prospectively assessed the inter-study variability of CMR measurements of RV size and...

متن کامل

Outcome of pregnancy and effects on the right heart in women with repaired tetralogy of fallot.

BACKGROUND Improved medical techniques have allowed most women with repaired tetralogy of Fallot (TOF) to reach childbearing age. The predictors of adverse events and the effects of pregnancy on cardiac function have not been clearly described in these patients. METHODS AND RESULTS In the present study we retrospectively reviewed 40 deliveries in 25 patients with repaired TOF. There were 23 p...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 16  شماره 

صفحات  -

تاریخ انتشار 2014