1984
DOI: 10.1055/s-2007-1023397 View full text |Buy / Rent full text
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Abstract: The hemodynamics, contractility and compliance of the right ventricle were examined during the early postoperative phase in 9 children operated for correction of tetralogy of Fallot. The same assessments were made in 5 patients after the transventricular closure of ventricular septal defects (control group). A further reduction of the PRV/LV quotient was observed in the Fallot group during the first 3 hours postoperatively. The contractility of the right ventricle (dp/dt max) was greatly reduced in all cases. … Show more

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“…This, in turn, results in increased end-diastolic volume, which can depress the function of the right ventricle and the cardiac output. 1 The condition can then be worsened by a ventricular incision, and needs a period of time for recovery. Chronic pulmonary regurgitation itself adversely affects right ventricular function, leading to cardiac enlargement, biventricular dysfunction, and arrhythmias.…”
Section: Discussionmentioning
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“…This, in turn, results in increased end-diastolic volume, which can depress the function of the right ventricle and the cardiac output. 1 The condition can then be worsened by a ventricular incision, and needs a period of time for recovery. Chronic pulmonary regurgitation itself adversely affects right ventricular function, leading to cardiac enlargement, biventricular dysfunction, and arrhythmias.…”
Section: Discussionmentioning
“…Surgical correction in this setting can lead to a sudden haemodynamic change from a pressure-loaded to a volume-loaded ventricle. This, in turn, results in increased end-diastolic volume, which can depress the function of the right ventricle and the cardiac output 1 . The condition can then be worsened by a ventricular incision, and needs a period of time for recovery.…”
Section: Discussionmentioning
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“…Alguns autores sugerem que pacientes possam desenvolver disfunção ventricular sistólica e/ou diastólica relacionadas às conseqüências hemodinâmicas da existência de lesões residuais (Jonsson et al, 1995a;Jonsson et al, 1995b;Niezen et al,1999;Kondo et al, 1995) e/ou aos procedimentos da técnica cirúrgica: ventriculotomia, interposição de remendos no septo ventricular e no infundíbulo Munkhammar et al,1998;Norgård et al, 1996;Sachdev et al, 2006). (Cullen et al, 1995;Hugel et al, 1984).…”
Section: Fisiopatologia Da Disfunção Ventricular (Dv) No Pós-operatórunclassified