Consequences of a hypertensive right ventricle on left ventricular performance of patients with pulmonary atresia and intact ventricular septum after right heart bypass surgery

Yoshihisa Tanoue, Hideaki Kado, Tomoki Ushijima, Ryuji Tominaga

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

A hypertensive right ventricle adversely affects left ventricular function in patients who are Fontan candidates with pulmonary atresia with intact ventricular septum (PAIVS). Decompression of a hypertensive right ventricle should improve left ventricular performance. Recently, a right ventricular outflow tract reconstruction, the closed Brock procedure, and/or percutaneous balloon pulmonary valvuloplasty were performed to decompress the hypertensive right ventricle before and during the bidirectional Glenn procedure in Fontan-candidate patients with PAIVS in our hospital. This strategy significantly improved left ventricular performance (contractility and ventricular efficiency) after the bidirectional Glenn procedure and a staged total cavopulmonary connection.

Original languageEnglish
Pages (from-to)43-48
Number of pages6
JournalProgress in Pediatric Cardiology
Volume29
Issue number1
DOIs
Publication statusPublished - May 1 2010

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Pediatrics, Perinatology, and Child Health

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