Effect of Simple VSD Repair on Doppler-Derived Right Ventricular Systolic Time Interval.
- Author:
Tae Eun JUNG
1
;
Young Hwan LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Heart Septal defect, ventricle
- MeSH:
Child;
Echocardiography;
Heart Rate;
Humans;
Hypertension, Pulmonary;
Infant;
Postoperative Care;
Preoperative Period;
Pulmonary Artery;
Systole*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1999;32(2):124-129
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Ventricular septal defect(VSD) that causes pulmonary hypertension increase right ventricular workload. Echocardiographic assessment of right ventricular systolic time interval (RVSTI) has been used to predict pulmonary artery pressure in various cardiopulmonary diseases. This study was undertaken in infants with simple VSD to observe the alteration of the right ventricular workload through the changes of RVSTI after repair of VSD. MATERIAL AND METHOD: We evaluated heart rate, the ratio of the left atrium/aortic root diameter (LA/Ao), right ventricular pre-ejection period(RVPEP), right ventricular ejection time(RVET), and its ratio(RVPEP/RVET) as a predictor of right ventricular workload in 12 children with simple VSD. These were measured three times at the preoperative period, at the 3 month and between 6 month and 1 year(average 9.5+/-1.8month) after repair of VSD by M-mode & Doppler echocardiograph from the pulmonic valve echogram. RESULT: Heart rate was decreased significantly after repair(137.1+/-13.7 vs 114.4+/-21.1 and 104.1+/-10.2, p<0.01). LA/Ao ratio was decreased significantly after repair(1.71+/-0.32 vs 1.47+/-0.33 and 1.39+/-0.23, p<0.05). RVPEP/RVET were decreased after repair (0.38+/-0.09 vs 0.32+/-0.08 and 0.29+/-0.09, p<0.01). Heart rate corrected RVPEP/RVET were significantly decreased only after 6 months(0.32+/-0.03 vs 0.30+/-0.05 and 0.28+/-0.06, p<0.05). CONCLUSION: We found elevated right ventricular workload was progressively decreased until more than 6 months after repair and the RVSTI may serve a useful guide in postoperative care for children with VSD.
