| pubmed-article:2297819 | rdf:type | pubmed:Citation | lld:pubmed |
| pubmed-article:2297819 | lifeskim:mentions | umls-concept:C0243002 | lld:lifeskim |
| pubmed-article:2297819 | lifeskim:mentions | umls-concept:C1522565 | lld:lifeskim |
| pubmed-article:2297819 | lifeskim:mentions | umls-concept:C0190010 | lld:lifeskim |
| pubmed-article:2297819 | lifeskim:mentions | umls-concept:C0456389 | lld:lifeskim |
| pubmed-article:2297819 | pubmed:issue | 1 | lld:pubmed |
| pubmed-article:2297819 | pubmed:dateCreated | 1990-2-23 | lld:pubmed |
| pubmed-article:2297819 | pubmed:abstractText | Left ventricular dimensions and contractility were determined by echocardiography in 33 patients with tricuspid atresia in 1985 and again in 1988. Eight patients remained palliated throughout the 3-year period; neither the left ventricular end-diastolic diameter (153 +/- 15% of normal vs. 157 +/- 19%, p = NS) nor a load-independent index of contractility (rate-corrected velocity of shortening [VCFc]/end-systolic meridional stress [ESSM]) changed. Eleven patients underwent a Fontan operation during the study and were reevaluated at least 6 months after surgery; left ventricular dimension decreased (130 +/- 15% vs. 114 +/- 19%, p less than 0.001), and the contractility index VCFc/ESSM improved (p less than 0.05). Fourteen patients had undergone a Fontan operation 0.9-9.5 years (mean, 4.2 years) before initial examination in 1985. Over the 3-year period, left ventricular dimensions did not change (121 +/- 17% vs. 118 +/- 11%, p = NS), but the contractility index showed significant improvement (p less than 0.01). Eight additional patients were studied just before and after a Fontan operation to examine the early effects of surgery. Left ventricular dimensions decreased from 130 +/- 14% to 100 +/- 13% by 10 days p less than 0.001) with no further change at 2 months. An inappropriate degree of ventricular hypertrophy was observed in only the early postoperative period. Successful Fontan repair results in rapid reduction of left ventricular size, followed by regression of hypertrophy to a normal mass-to-volume ratio. Operating at more favorable dimensions and loading conditions results in an early increase in left ventricular contractility, which further improves in the medium term follow-up. | lld:pubmed |
| pubmed-article:2297819 | pubmed:language | eng | lld:pubmed |
| pubmed-article:2297819 | pubmed:journal | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:2297819 | pubmed:citationSubset | AIM | lld:pubmed |
| pubmed-article:2297819 | pubmed:status | MEDLINE | lld:pubmed |
| pubmed-article:2297819 | pubmed:month | Jan | lld:pubmed |
| pubmed-article:2297819 | pubmed:issn | 0009-7322 | lld:pubmed |
| pubmed-article:2297819 | pubmed:author | pubmed-author:BullCC | lld:pubmed |
| pubmed-article:2297819 | pubmed:author | pubmed-author:GrahamT PTPJr | lld:pubmed |
| pubmed-article:2297819 | pubmed:author | pubmed-author:FranklinR CRC | lld:pubmed |
| pubmed-article:2297819 | pubmed:author | pubmed-author:WyseR KRK | lld:pubmed |
| pubmed-article:2297819 | pubmed:author | pubmed-author:DeanfieldJ... | lld:pubmed |
| pubmed-article:2297819 | pubmed:author | pubmed-author:GewilligM HMH | lld:pubmed |
| pubmed-article:2297819 | pubmed:author | pubmed-author:LundströmU... | lld:pubmed |
| pubmed-article:2297819 | pubmed:issnType | Print | lld:pubmed |
| pubmed-article:2297819 | pubmed:volume | 81 | lld:pubmed |
| pubmed-article:2297819 | pubmed:owner | NLM | lld:pubmed |
| pubmed-article:2297819 | pubmed:authorsComplete | Y | lld:pubmed |
| pubmed-article:2297819 | pubmed:pagination | 118-27 | lld:pubmed |
| pubmed-article:2297819 | pubmed:dateRevised | 2006-11-15 | lld:pubmed |
| pubmed-article:2297819 | pubmed:meshHeading | pubmed-meshheading:2297819-... | lld:pubmed |
| pubmed-article:2297819 | pubmed:meshHeading | pubmed-meshheading:2297819-... | lld:pubmed |
| pubmed-article:2297819 | pubmed:meshHeading | pubmed-meshheading:2297819-... | lld:pubmed |
| pubmed-article:2297819 | pubmed:meshHeading | pubmed-meshheading:2297819-... | lld:pubmed |
| pubmed-article:2297819 | pubmed:meshHeading | pubmed-meshheading:2297819-... | lld:pubmed |
| pubmed-article:2297819 | pubmed:meshHeading | pubmed-meshheading:2297819-... | lld:pubmed |
| pubmed-article:2297819 | pubmed:meshHeading | pubmed-meshheading:2297819-... | lld:pubmed |
| pubmed-article:2297819 | pubmed:meshHeading | pubmed-meshheading:2297819-... | lld:pubmed |
| pubmed-article:2297819 | pubmed:meshHeading | pubmed-meshheading:2297819-... | lld:pubmed |
| pubmed-article:2297819 | pubmed:meshHeading | pubmed-meshheading:2297819-... | lld:pubmed |
| pubmed-article:2297819 | pubmed:year | 1990 | lld:pubmed |
| pubmed-article:2297819 | pubmed:articleTitle | Impact of Fontan operation on left ventricular size and contractility in tricuspid atresia. | lld:pubmed |
| pubmed-article:2297819 | pubmed:affiliation | Cardiothoracic Unit, Hospital For Sick Children, London, England. | lld:pubmed |
| pubmed-article:2297819 | pubmed:publicationType | Journal Article | lld:pubmed |
| pubmed-article:2297819 | pubmed:publicationType | Research Support, Non-U.S. Gov't | lld:pubmed |
| http://linkedlifedata.com/r... | pubmed:referesTo | pubmed-article:2297819 | lld:pubmed |
| http://linkedlifedata.com/r... | pubmed:referesTo | pubmed-article:2297819 | lld:pubmed |
| http://linkedlifedata.com/r... | pubmed:referesTo | pubmed-article:2297819 | lld:pubmed |
| http://linkedlifedata.com/r... | pubmed:referesTo | pubmed-article:2297819 | lld:pubmed |
