Right ventricular growth after transventricular pulmonary valvotomy and central aortopulmonary shunt for pulmonary atresia and intact ventricular septum.

Abstract:

:We performed transventricular pulmonary valvotomy as initial surgery in 22 consecutive patients with pulmonary atresia and intact ventricular septum who had a patent infundibulum. Nineteen patients also had placement of a central aortopulmonary shunt. All patients survived surgery, and 16 patients have had preoperative and later postoperative catheterizations. The purpose of this study was to determine the response of the right ventricle to transventricular pulmonary valvotomy with regard to relief of right ventricular hypertension and growth of the entire right ventricle, including tricuspid valve, right ventricular volume, and right ventricular outflow tract. Right ventricular systolic pressure decreased from 111.3 +/- 31.7 mm Hg before initial surgery to 65.6 +/- 26.2 mm Hg. Right ventricular end-diastolic volume increased from 59.1 +/- 39.3% of predicted normal before initial surgery to 114.6 +/- 63.2% at late follow-up catheterization. Tricuspid valve anulus circumference also increased in size from 73.2 +/- 21.3% of predicted normal before initial surgery to 90.4 +/- 22.8% at late follow-up catheterization. Only one patient (6%) required a transanular right ventricular outflow tract patch at the time of biventricular repair. Twenty of 22 patients (91%) either have had or are awaiting biventricular repair. We conclude that transventricular pulmonary valvotomy and central aortopulmonary shunt can be performed safely in newborn infants with pulmonary atresia and intact ventricular septum who have a patent infundibulum. Effective valvotomy relieves right ventricular hypertension, allows for excellent right ventricular and tricuspid valve growth, and optimizes potential for biventricular repair.

journal_name

Circulation

journal_title

Circulation

authors

Shaddy RE,Sturtevant JE,Judd VE,McGough EC

subject

Has Abstract

pub_date

1990-11-01 00:00:00

pages

IV157-63

issue

5 Suppl

eissn

0009-7322

issn

1524-4539

journal_volume

82

pub_type

杂志文章
  • Exercise training in patients with chronic heart failure delays ventilatory anaerobic threshold and improves submaximal exercise performance.

    abstract::We have recently demonstrated that exercise training can induce important hemodynamic and metabolic adaptations in patients with chronic heart failure due to severe left ventricular dysfunction. This study examines the accompanying changes in submaximal exercise performance and the ventilatory response to exercise in ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.79.2.324

    authors: Sullivan MJ,Higginbotham MB,Cobb FR

    更新日期:1989-02-01 00:00:00

  • Long-term safety and efficacy of percutaneous coronary intervention with stenting and coronary artery bypass surgery for multivessel coronary artery disease: a meta-analysis with 5-year patient-level data from the ARTS, ERACI-II, MASS-II, and SoS trials.

    abstract:BACKGROUND:Randomized trials that studied clinical outcomes after percutaneous coronary intervention (PCI) with bare metal stenting versus coronary artery bypass grafting (CABG) are underpowered to properly assess safety end points like death, stroke, and myocardial infarction. Pooling data from randomized controlled t...

    journal_title:Circulation

    pub_type: 杂志文章,meta分析

    doi:10.1161/CIRCULATIONAHA.107.752147

    authors: Daemen J,Boersma E,Flather M,Booth J,Stables R,Rodriguez A,Rodriguez-Granillo G,Hueb WA,Lemos PA,Serruys PW

    更新日期:2008-09-09 00:00:00

  • Sudden death recorded during Holter monitoring.

    abstract::Six instances of sudden death were recorded by Holter monitoring, which showed ventricular fibrillation in five and a bradyarrhythmia in one. Complex ventricular ectopic activity preceded cardiac arrest in five patients, including the one with the bradyarrhythmic arrest. Two patients with chronic bifascicular block ar...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.66.1.218

    authors: Nikolic G,Bishop RL,Singh JB

    更新日期:1982-07-01 00:00:00

  • Physical activity prevents age-related impairment in nitric oxide availability in elderly athletes.

    abstract:BACKGROUND:Aging is associated with increased cardiovascular risk and endothelial dysfunction. Since exercise can improve endothelium-dependent vasodilation, in the present study we tested whether long-term physical activity could prevent aging-related endothelial dysfunction. METHODS AND RESULTS:In 12 young and elder...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.101.25.2896

    authors: Taddei S,Galetta F,Virdis A,Ghiadoni L,Salvetti G,Franzoni F,Giusti C,Salvetti A

    更新日期:2000-06-27 00:00:00

  • Regulation of spontaneous transient outward potassium currents in human coronary arteries.

    abstract:BACKGROUND:Spontaneous transient outward potassium currents (STOCs) induce myogenic relaxation in small cerebral vessels. We found STOCs in human coronary artery vascular smooth muscle cells (VSMCs) and studied their regulation. METHODS AND RESULTS:K+ currents were recorded in human coronary VSMCs by current- and volt...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.95.2.503

    authors: Bychkov R,Gollasch M,Ried C,Luft FC,Haller H

    更新日期:1997-01-21 00:00:00

  • Protective effects of endogenous adrenomedullin on cardiac hypertrophy, fibrosis, and renal damage.

    abstract:BACKGROUND:Adrenomedullin (AM) is a novel vasodilating peptide thought to have important effects on cardiovascular function. The aim of this study was to assess the activity of endogenous AM in the cardiovascular system using AM knockout mice. METHODS AND RESULTS:Mice heterozygous for an AM-null mutation (AM+/-) and t...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000118466.47982.CC

    authors: Niu P,Shindo T,Iwata H,Iimuro S,Takeda N,Zhang Y,Ebihara A,Suematsu Y,Kangawa K,Hirata Y,Nagai R

    更新日期:2004-04-13 00:00:00

  • Thrombin-induced mitogenesis in coronary artery smooth muscle cells is potentiated by thromboxane A2 and involves upregulation of thromboxane receptor mRNA.

    abstract:BACKGROUND:Previous studies have shown that thrombin is a potent though slow-acting mitogen for vascular smooth muscle cells (SMC). Because thrombin generation in vivo is accompanied by platelet activation, it has been suggested that platelet-derived factors might enhance thrombin-induced SMC proliferation. No informat...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.97.6.589

    authors: Zucker TP,Bönisch D,Muck S,Weber AA,Bretschneider E,Glusa E,Schrör K

    更新日期:1998-02-17 00:00:00

  • Transcriptomic and proteomic patterns of systemic inflammation in on-pump and off-pump coronary artery bypass grafting.

    abstract:BACKGROUND:Coronary artery bypass grafting (CABG) using cardiopulmonary bypass (CPB) provides controlled operative conditions but induces a whole-body inflammatory response capable of initiating devastating morbidity and mortality. Although technically more demanding, deliberate avoidance of CPB in off-pump surgery att...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.531152

    authors: Tomic V,Russwurm S,Möller E,Claus RA,Blaess M,Brunkhorst F,Bruegel M,Bode K,Bloos F,Wippermann J,Wahlers T,Deigner HP,Thiery J,Reinhart K,Bauer M

    更新日期:2005-11-08 00:00:00

  • Effect of single-drug therapy on reduction of left atrial size in mild to moderate hypertension: comparison of six antihypertensive agents.

    abstract:BACKGROUND:Cardiac effects of hypertension include increased left ventricular (LV) mass and LV hypertrophy, as well as increased left atrial size, a predictor of stroke and atrial fibrillation. Although literature on reduction of LV mass with antihypertensive therapy is extensive, little information is available on eff...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.98.2.140

    authors: Gottdiener JS,Reda DJ,Williams DW,Materson BJ,Cushman W,Anderson RJ

    更新日期:1998-07-14 00:00:00

  • Anisotropic conduction properties in canine atria analyzed by high-resolution optical mapping: preferential direction of conduction block changes from longitudinal to transverse with increasing age.

    abstract:BACKGROUND:Anisotropic conduction properties may provide a substrate for reentrant arrhythmias. We investigated the age-dependent changes of structural and functional anisotropy in isolated right atria from infant (1 to 2 months), young (6 to 12 months), and old (6 to 10 years) dogs. METHODS AND RESULTS:The histology ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000015506.36371.0d

    authors: Koura T,Hara M,Takeuchi S,Ota K,Okada Y,Miyoshi S,Watanabe A,Shiraiwa K,Mitamura H,Kodama I,Ogawa S

    更新日期:2002-04-30 00:00:00

  • Improved exercise tolerance and quality of life with cardiac rehabilitation of older patients after myocardial infarction: results of a randomized, controlled trial.

    abstract:BACKGROUND:Whether cardiac rehabilitation (CR) is effective in patients older than 75 years, who have been excluded from most trials, remains unclear. We enrolled patients 46 to 86 years old in a randomized trial and assessed the effects of 2 months of post-myocardial infarction (MI) CR on total work capacity (TWC, in ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.CIR.0000066322.21016.4A

    authors: Marchionni N,Fattirolli F,Fumagalli S,Oldridge N,Del Lungo F,Morosi L,Burgisser C,Masotti G

    更新日期:2003-05-06 00:00:00

  • Angina symptoms are associated with mortality in older women with ischemic heart disease.

    abstract:BACKGROUND:Angina symptoms have been reported to predict mortality in men. The aim of this study was to investigate the association between angina symptoms and mortality in women. METHODS AND RESULTS:In 2004, 873 older participants in the Australian Longitudinal Study on Women's Health with self-reported ischemic hear...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.109.887380

    authors: Berecki-Gisolf J,Humphreyes-Reid L,Wilson A,Dobson A

    更新日期:2009-12-08 00:00:00

  • Catheter ablation of the mitral isthmus for ventricular tachycardia associated with inferior infarction.

    abstract:BACKGROUND:Intraoperative mapping studies suggest that an isthmus of myocardium between the mitral valve annulus and the border of inferior myocardial infarction may play a role in the genesis of ventricular tachycardia. We examined the frequency with which a slow conduction zone within the mitral isthmus was critical ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.12.3481

    authors: Wilber DJ,Kopp DE,Glascock DN,Kinder CA,Kall JG

    更新日期:1995-12-15 00:00:00

  • Magnetic resonance and echocardiographic imaging of pulmonary artery size throughout stages of Fontan reconstruction.

    abstract:BACKGROUND:Because pulmonary artery size is considered by most investigators to be a major prognosticator of outcome in patients undergoing staged Fontan reconstruction, the objective of the present study was to determine the efficacy of noninvasive measures in determining pulmonary artery size. METHODS AND RESULTS:Th...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.90.6.2927

    authors: Fogel MA,Donofrio MT,Ramaciotti C,Hubbard AM,Weinberg PM

    更新日期:1994-12-01 00:00:00

  • Limitation of infarct size with thrombolytic agents--electrocardiographic indexes.

    abstract::Forty-four patients with acute transmural myocardial infarction underwent cardiac catheterization 4.7 +/- 1.3 hours (+/- SD) after the onset of persistent chest discomfort. Thirty-nine patients had total occlusion of infarct-related vessels; 27 of these 39 had successful intracoronary thrombolysis. Twenty of these 27 ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Goldberg S,Urban P,Greenspon A,Berger B,Walinsky P,Muza B,Kusiak V,Maroko PR

    更新日期:1983-08-01 00:00:00

  • Diagnosis of noninfective cardiac mass lesions by two-dimensional echocardiography. Comparison of the transthoracic and transesophageal approaches.

    abstract::This study was conducted in 46 patients with cardiac thrombi, 15 patients with atrial myxomas, and 32 patients with other cardiac or paracardiac tumors. Diagnoses were subsequently proven by surgery, autopsy, computed tomography, magnetic resonance imaging, or angiography in all patients. All patients underwent precor...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.83.1.70

    authors: Mügge A,Daniel WG,Haverich A,Lichtlen PR

    更新日期:1991-01-01 00:00:00

  • Mechanisms of coronary microcirculatory dysfunction in patients with aortic stenosis and angiographically normal coronary arteries.

    abstract:BACKGROUND:Development of left ventricular hypertrophy in aortic stenosis (AS) is accompanied by coronary microcirculatory dysfunction, demonstrated by an impaired coronary vasodilator reserve (CVR). However, evidence for regional abnormalities in myocardial blood flow (MBF) and the potential mechanisms is limited. The...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/hc0402.102931

    authors: Rajappan K,Rimoldi OE,Dutka DP,Ariff B,Pennell DJ,Sheridan DJ,Camici PG

    更新日期:2002-01-29 00:00:00

  • Nonselective versus selective beta-adrenergic receptor blockade in congestive heart failure: differential effects on sympathetic activity.

    abstract:BACKGROUND:Activation of the sympathetic nervous system has important prognostic implications in chronic heart failure. Nonselective versus selective beta-adrenergic receptor antagonists may have differential effects on norepinephrine release from nerve terminals mediated by prejunctional beta(2)-adrenergic receptors. ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/hc4301.098282

    authors: Azevedo ER,Kubo T,Mak S,Al-Hesayen A,Schofield A,Allan R,Kelly S,Newton GE,Floras JS,Parker JD

    更新日期:2001-10-30 00:00:00

  • Weekend versus weekday admission and mortality after acute pulmonary embolism.

    abstract:BACKGROUND:Optimal management of acute pulmonary embolism (PE) requires medical expertise, diagnostic testing, and therapies that may not be available consistently throughout the entire week. We sought to assess whether associations exist between weekday or weekend admission and mortality and length of hospital stay fo...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.824292

    authors: Aujesky D,Jiménez D,Mor MK,Geng M,Fine MJ,Ibrahim SA

    更新日期:2009-02-24 00:00:00

  • Cardiovascular and Ventilatory Consequences of Laparoscopic Surgery.

    abstract::Although laparoscopic surgery accounts for >2 million surgical procedures every year, the current preoperative risk scores and guidelines do not adequately assess the risks of laparoscopy. In general, laparoscopic procedures have a lower risk of morbidity and mortality compared with operations requiring a midline lapa...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.116.023262

    authors: Atkinson TM,Giraud GD,Togioka BM,Jones DB,Cigarroa JE

    更新日期:2017-02-14 00:00:00

  • Influence of acute rejection episodes, HLA matching, and donor/recipient phenotype on the development of 'early' transplant-associated coronary artery disease.

    abstract:BACKGROUND:Transplant-associated coronary artery disease (TxCAD) is the manifestation of chronic rejection in the cardiac allograft. Both immunological and nonimmunological factors contribute to its development. Stratification by the time of development of TxCAD has not been considered previously for an extensive trans...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Hornick P,Smith J,Pomerance A,Mitchell A,Banner N,Rose M,Yacoub M

    更新日期:1997-11-04 00:00:00

  • Multislice MRI in assessment of myocardial perfusion in patients with single-vessel proximal left anterior descending coronary artery disease before and after revascularization.

    abstract:BACKGROUND:Our purpose was to use multislice MRI for detection of reversible myocardial ischemia and assessment of the effect of revascularization on tissue perfusion in patients with coronary artery disease. METHODS AND RESULTS:Eleven patients with single-vessel proximal left anterior descending coronary artery disea...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.9.2859

    authors: Lauerma K,Virtanen KS,Sipilä LM,Hekali P,Aronen HJ

    更新日期:1997-11-04 00:00:00

  • Weight Loss and Heart Failure: A Nationwide Study of Gastric Bypass Surgery Versus Intensive Lifestyle Treatment.

    abstract:BACKGROUND:Associations of obesity with incidence of heart failure have been observed, but the causality is uncertain. We hypothesized that gastric bypass surgery leads to a lower incidence of heart failure compared with intensive lifestyle modification in obese people. METHODS:We included obese people without previou...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.116.025629

    authors: Sundström J,Bruze G,Ottosson J,Marcus C,Näslund I,Neovius M

    更新日期:2017-04-25 00:00:00

  • Chronic hyperglycemia impairs endothelial function and insulin sensitivity via different mechanisms in insulin-dependent diabetes mellitus.

    abstract:BACKGROUND:We explored whether chronic hyperglycemia is associated with defects in endothelium-dependent vasodilatation in vivo and whether defects in the hemodynamic effects of insulin explain insulin resistance. METHODS AND RESULTS:Vasodilator responses to brachial artery infusions of acetylcholine, sodium nitroprus...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.6.1276

    authors: Mäkimattila S,Virkamäki A,Groop PH,Cockcroft J,Utriainen T,Fagerudd J,Yki-Järvinen H

    更新日期:1996-09-15 00:00:00

  • Defibrillator Versus beta-Blockers for Unexplained Death in Thailand (DEBUT): a randomized clinical trial.

    abstract:BACKGROUND:Sudden Unexplained Death Syndrome (SUDS) is the leading cause of death in young, healthy, Southeast Asian men. The role of an implantable cardioverter defibrillator (ICD) for mortality reduction in these patients remains unclear. METHODS AND RESULTS:The Defibrillator Versus beta-Blockers for Unexplained Dea...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1161/01.CIR.0000066319.56234.C8

    authors: Nademanee K,Veerakul G,Mower M,Likittanasombat K,Krittayapong R,Bhuripanyo K,Sitthisook S,Chaothawee L,Lai MY,Azen SP

    更新日期:2003-05-06 00:00:00

  • Unexpected interaction between beta-adrenergic blockade and heart rate variability before and after myocardial infarction. A longitudinal study in dogs at high and low risk for sudden death.

    abstract:BACKGROUND:Heart rate (HR) variability is a marker of tonic cardiac autonomic activity and contributes in assessing risk for sudden death after myocardial infarction. Recent clinical observations have indicated that attenuation of HR variability, which occurs after myocardial infarction, may be transient. This study ad...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.90.2.976

    authors: Adamson PB,Huang MH,Vanoli E,Foreman RD,Schwartz PJ,Hull SS Jr

    更新日期:1994-08-01 00:00:00

  • Simultaneous autologous transplantation of cocultured mesenchymal stem cells and skeletal myoblasts improves ventricular function in a murine model of Chagas disease.

    abstract:BACKGROUND:Cellular transplantation is emerging as a promising strategy for the treatment of postinfarction ventricular dysfunction. Whether its beneficial effects can be extended to other cardiomyopathies remains an unexplored question. We evaluated the histological and functional effects of simultaneous autologous tr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.000646

    authors: Guarita-Souza LC,Carvalho KA,Woitowicz V,Rebelatto C,Senegaglia A,Hansen P,Miyague N,Francisco JC,Olandoski M,Faria-Neto JR,Brofman P

    更新日期:2006-07-04 00:00:00

  • The cellular electrophysiologic mechanism of the dual actions of disopyramide on rabbit sinus node function.

    abstract::To determine the contribution of disopyramide's suggested opposing direct depressant and indirect acceleratory actions on sinus node function, we studied the effects of disopyramide, 1 x 10(-7) to 1 x 10(-4) M, on isolated rabbit sinus node preparations using standard microelectrode techniques. Transmembrane potential...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.66.6.1216

    authors: Katoh T,Karagueuzian HS,Jordan J,Mandel WJ

    更新日期:1982-12-01 00:00:00

  • Reduced mortality and strokes with off-pump coronary artery bypass grafting surgery in octogenarians.

    abstract:BACKGROUND:Off-pump coronary artery bypass surgery (OPCAB) has been revived and has gained popularity, although the exact subsets of patients who might benefit most from this technique are unknown. The aim of this retrospective study was to compare the results of coronary artery bypass grafting surgery (CABG) in octoge...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Demaria RG,Carrier M,Fortier S,Martineau R,Fortier A,Cartier R,Pellerin M,Hébert Y,Bouchard D,Pagé P,Perrault LP

    更新日期:2002-09-24 00:00:00

  • Electron-beam computed tomography in the assessment of coronary artery disease after heart transplantation.

    abstract:BACKGROUND:Our aim was to compare the electron-beam CT (EBCT) features of coronary arteries in heart transplant recipients with those of biplane coronary angiography and intracoronary ultrasound (ICUS). METHODS AND RESULTS:We examined 112 heart transplant recipients (25 female; age, 17 to 69 years; median, 52 years) 1...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.101.17.2078

    authors: Knollmann FD,Bocksch W,Spiegelsberger S,Hetzer R,Felix R,Hummel M

    更新日期:2000-05-02 00:00:00