کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3026053 1182850 2006 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Surgical Management of Right Ventricular Dysfunction Late After Repair of Tetralogy of Fallot: Right Ventricular Remodeling Surgery
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Surgical Management of Right Ventricular Dysfunction Late After Repair of Tetralogy of Fallot: Right Ventricular Remodeling Surgery
چکیده انگلیسی

With the increasing number of late survivors of repair of tetralogy of Fallot, surgical management of patients with right ventricular (RV) dysfunction and limited exercise capacity has become a more frequent problem. The wide variability in clinical status, extent of RV dilatation, and dysfunction at the time of presentation for surgical intervention has resulted in disparate surgical results after pulmonary valve insertion. With increasing use of magnetic resonance imaging, quantitative measures of RV volumes, function, and pulmonary regurgitant fraction have enabled a more systematic analysis of results. While there is a group of patients that responds favorably to pulmonary valve insertion, there is also a large subgroup that does not; this requires further analysis of the mechanisms responsible. We have developed a surgical approach to this latter group of patients, which incorporates the concepts of ventricular remodeling or restoration developed for the left ventricle following myocardial infarction. Preliminary results indicate that this procedure is equally safe to pulmonary valve insertion alone, and may result in improved RV function.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - Volume 9, Issue 1, 2006, Pages 29–34
نویسندگان
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