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<Original Article> Qualitative Evaluation of Diminished Pulmonary Blood Flow of Congenital Cyanotic Heart Disease by the Pulmonary Venous Wedge Pressure Measurement and Its Surgical Consideration
https://doi.org/10.34429/00003236
https://doi.org/10.34429/00003236a4cbcc5f-6a44-4bca-8c0e-e4328226d164
名前 / ファイル | ライセンス | アクション |
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AN10044054_03_02_03.pdf (1.1 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2010-05-18 | |||||
タイトル | ||||||
タイトル | <Original Article> Qualitative Evaluation of Diminished Pulmonary Blood Flow of Congenital Cyanotic Heart Disease by the Pulmonary Venous Wedge Pressure Measurement and Its Surgical Consideration | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題 | Pulmonary venous wedge pressure | |||||
キーワード | ||||||
主題 | Cyanotic heart disease | |||||
キーワード | ||||||
主題 | Dimnished pulmonary blood flow | |||||
キーワード | ||||||
主題 | Surgical indication | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
ID登録 | ||||||
ID登録 | 10.34429/00003236 | |||||
ID登録タイプ | JaLC | |||||
著者名 |
MATSUKAWA, Tetsunosuke
× MATSUKAWA, Tetsunosuke× HASHIMOTO, Ryoichi× YOSHII, Shinpei× EGUCHI, Shoji× UENO, Akira |
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内容 | ||||||
内容記述タイプ | Other | |||||
内容記述 | In 27 cyanotic heart patients with complication of stenosis or atresia involving ventricular septal defect or single ventricle, we evaluated the diminished pulmonary blood flow by the pulmonary venous wedge pressure (PVWP) measurement. There were significant correlations between mean PVWP and arterial oxygen saturation (r=0.71, P<.01) and right pulmonary arterial/ascending aortic diameter ratio (r=0.65, P<.01). Of the 27 patients, 14 (except one with mean PVWP above 13 mmHg) survived, but seven of 12 with mean PVWP below 12 mmHg died from sudden hypoxic attack or postoperative low cardiac output syndrome/late congcstive heart failure. Mean PVWP value is useful as an indirect parameter affected by diminished pulmonary blood flow. In patients with mean PVWP below 12 mmHg, the urgent and/or initial shunt operation is recommended, in view of the threatened hypoxic state and/or unadequate size of pulmonary arteries vis a vis surgical reconstruction of the right ventricular outflow tract. | |||||
出版者 | ||||||
出版者 | 山梨医科大学医学会 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0912-0025 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN10044054 | |||||
書誌情報 |
山梨医科大学雑誌 en : 山梨医科大学雑誌 巻 3, 号 2, p. 57-63, 発行日 1988 |
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著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 |