@article{oai:yamanashi.repo.nii.ac.jp:00003243,
 author = {MATSUKAWA, Tetsunosuke and HASHIMOTO, Ryoichi and YOSHII, Shinpei and EGUCHI, Shoji and UENO, Akira},
 issue = {2},
 journal = {山梨医科大学雑誌, 山梨医科大学雑誌},
 month = {},
 note = {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.},
 pages = {57--63},
 title = {<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},
 volume = {3},
 year = {1988}
}