Evaluating right heart function after right ventricle-pulmonary anastomosis for right ventricle outflow reconstruction
10.3760/cma.j.issn.1001-4497.2016.06.002
- VernacularTitle:肺动脉闭锁合并室间隔缺损行肺动脉下拉重建右心室流出道后右心功能评估
- Author:
Xinjian YAN
;
Jian ZHUANG
;
Jimei CHEN
;
Jianzheng CEN
;
Gang XU
;
Shusheng WEN
;
Jiani LI
- Publication Type:Journal Article
- Keywords:
Heart disease,congenital;
Pulmonary atresia;
Cardiac surgical procedures;
Right heart function
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2016;32(6):325-328
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the right heart function with echocardiography after right ventricle-pulmonary artery (RV-PA) anastomasis for right ventricle outflow (RVOT) reconstruction in patients with different types of pulmonary atresia and ventricle septal defect(PA/VSD).Methods From Nov 2002 to Aug 2013,31 patients with PA/VSD had undergone right ventricle-pulmonary anastomasis to reconstruct RVOT for radical or palliative repair.Related echocardiography indexs including strain/rate etc.were used to evaluate the right heart function and the progress of the right heart valves regurgitation.Results There were 3 early hospital deaths.No later death during follow-up.The echocardiography suggested the pulmonary artery and tricuspid regurgitation were more serious,however,the right heart function was relatively fine.The regurgitation of tricuspid valve was positive correlation with duration of follow-up (P =0.016).Conclusion The right heart function in follow-up keeps relatively well,and tricuspid valve regurgitation needs a long-term follow-up.
