The pulmonary vascular blood supply in the pulmonary atresia with ventricular septal defect and its implications in surgical treatment

Detalhes bibliográficos
Autor(a) principal: Croti,Ulisses Alexandre
Data de Publicação: 2003
Outros Autores: Barbero Marcial,Miguel Lorenzo, Tanamati,Carla, Jatene,Marcelo Biscegli, Oliveira,Sergio Almeida de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Cardiovascular Surgery (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382003000100007
Resumo: OBJECTIVE: With base in the studies cineangiocardiography of pacients with pulmonary atresia (PA) with ventricular septal defect (VSD), to identify in the groups proposed by BARBERO MARCIAL, subgroups with similar morphological characteristics, to measure their central pulmonary arteries (CPA) and major aortopulmonary collateral arteries (MAPCA), thereby establishing their implications in surgical treatment. METHOD: Sixty three patients were classified in groups A (15), B (40) and C (8) between january 1990 and june 2001. Patients with complete cineangiocardiograms prior to the first surgical intervention were included in this study, being calculated the pulmonary arterial index (PAI), the major aortopulmonary collateral arterial index (MAPCAI) and the total neopulmonary arterial index (TNPAI = PAI + MAPCAI). Surgical treatment was considered palliative (PT), definitively palliative (DPT) and definitive (DT). RESULTS: Nine subgroups were identified, A (A1 and A2), B (B1, B2, B3, B4 and B5) and C (C1 and C2). In group A, the PAI of patients for DT was higher than for PT patients (p=0,0092). In group B, the TNPAI of DT patients was greater than for PT patients (p=0,0959). In group C, the MAPCAI in DPT patients was lower than in PT and DT patients. In the group A was not mortality, in the group B was of 17,5% and in the group C was of 12,5%. CONCLUSIONS:Among the groups A, B e C was possible to identifiy nine subgroups, the morphologic and morphometric characteristics allowed to suggest the surgical treatment in the patients of the group A had larger chance of TD, the group B of TP and the group C of TPD. The mortality presented larger correlation with the morphologic characteristics that with the morphometric.
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spelling The pulmonary vascular blood supply in the pulmonary atresia with ventricular septal defect and its implications in surgical treatmentPulmonary atresia/surgeryPulmonary atresia/physiopathologyHeart septal defects, ventricular/surgeryHeart defects, congenital/surgeryOBJECTIVE: With base in the studies cineangiocardiography of pacients with pulmonary atresia (PA) with ventricular septal defect (VSD), to identify in the groups proposed by BARBERO MARCIAL, subgroups with similar morphological characteristics, to measure their central pulmonary arteries (CPA) and major aortopulmonary collateral arteries (MAPCA), thereby establishing their implications in surgical treatment. METHOD: Sixty three patients were classified in groups A (15), B (40) and C (8) between january 1990 and june 2001. Patients with complete cineangiocardiograms prior to the first surgical intervention were included in this study, being calculated the pulmonary arterial index (PAI), the major aortopulmonary collateral arterial index (MAPCAI) and the total neopulmonary arterial index (TNPAI = PAI + MAPCAI). Surgical treatment was considered palliative (PT), definitively palliative (DPT) and definitive (DT). RESULTS: Nine subgroups were identified, A (A1 and A2), B (B1, B2, B3, B4 and B5) and C (C1 and C2). In group A, the PAI of patients for DT was higher than for PT patients (p=0,0092). In group B, the TNPAI of DT patients was greater than for PT patients (p=0,0959). In group C, the MAPCAI in DPT patients was lower than in PT and DT patients. In the group A was not mortality, in the group B was of 17,5% and in the group C was of 12,5%. CONCLUSIONS:Among the groups A, B e C was possible to identifiy nine subgroups, the morphologic and morphometric characteristics allowed to suggest the surgical treatment in the patients of the group A had larger chance of TD, the group B of TP and the group C of TPD. The mortality presented larger correlation with the morphologic characteristics that with the morphometric.Sociedade Brasileira de Cirurgia Cardiovascular2003-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382003000100007Brazilian Journal of Cardiovascular Surgery v.18 n.1 2003reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.1590/S0102-76382003000100007info:eu-repo/semantics/openAccessCroti,Ulisses AlexandreBarbero Marcial,Miguel LorenzoTanamati,CarlaJatene,Marcelo BiscegliOliveira,Sergio Almeida deeng2003-08-05T00:00:00Zoai:scielo:S0102-76382003000100007Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2003-08-05T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false
dc.title.none.fl_str_mv The pulmonary vascular blood supply in the pulmonary atresia with ventricular septal defect and its implications in surgical treatment
title The pulmonary vascular blood supply in the pulmonary atresia with ventricular septal defect and its implications in surgical treatment
spellingShingle The pulmonary vascular blood supply in the pulmonary atresia with ventricular septal defect and its implications in surgical treatment
Croti,Ulisses Alexandre
Pulmonary atresia/surgery
Pulmonary atresia/physiopathology
Heart septal defects, ventricular/surgery
Heart defects, congenital/surgery
title_short The pulmonary vascular blood supply in the pulmonary atresia with ventricular septal defect and its implications in surgical treatment
title_full The pulmonary vascular blood supply in the pulmonary atresia with ventricular septal defect and its implications in surgical treatment
title_fullStr The pulmonary vascular blood supply in the pulmonary atresia with ventricular septal defect and its implications in surgical treatment
title_full_unstemmed The pulmonary vascular blood supply in the pulmonary atresia with ventricular septal defect and its implications in surgical treatment
title_sort The pulmonary vascular blood supply in the pulmonary atresia with ventricular septal defect and its implications in surgical treatment
author Croti,Ulisses Alexandre
author_facet Croti,Ulisses Alexandre
Barbero Marcial,Miguel Lorenzo
Tanamati,Carla
Jatene,Marcelo Biscegli
Oliveira,Sergio Almeida de
author_role author
author2 Barbero Marcial,Miguel Lorenzo
Tanamati,Carla
Jatene,Marcelo Biscegli
Oliveira,Sergio Almeida de
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Croti,Ulisses Alexandre
Barbero Marcial,Miguel Lorenzo
Tanamati,Carla
Jatene,Marcelo Biscegli
Oliveira,Sergio Almeida de
dc.subject.por.fl_str_mv Pulmonary atresia/surgery
Pulmonary atresia/physiopathology
Heart septal defects, ventricular/surgery
Heart defects, congenital/surgery
topic Pulmonary atresia/surgery
Pulmonary atresia/physiopathology
Heart septal defects, ventricular/surgery
Heart defects, congenital/surgery
description OBJECTIVE: With base in the studies cineangiocardiography of pacients with pulmonary atresia (PA) with ventricular septal defect (VSD), to identify in the groups proposed by BARBERO MARCIAL, subgroups with similar morphological characteristics, to measure their central pulmonary arteries (CPA) and major aortopulmonary collateral arteries (MAPCA), thereby establishing their implications in surgical treatment. METHOD: Sixty three patients were classified in groups A (15), B (40) and C (8) between january 1990 and june 2001. Patients with complete cineangiocardiograms prior to the first surgical intervention were included in this study, being calculated the pulmonary arterial index (PAI), the major aortopulmonary collateral arterial index (MAPCAI) and the total neopulmonary arterial index (TNPAI = PAI + MAPCAI). Surgical treatment was considered palliative (PT), definitively palliative (DPT) and definitive (DT). RESULTS: Nine subgroups were identified, A (A1 and A2), B (B1, B2, B3, B4 and B5) and C (C1 and C2). In group A, the PAI of patients for DT was higher than for PT patients (p=0,0092). In group B, the TNPAI of DT patients was greater than for PT patients (p=0,0959). In group C, the MAPCAI in DPT patients was lower than in PT and DT patients. In the group A was not mortality, in the group B was of 17,5% and in the group C was of 12,5%. CONCLUSIONS:Among the groups A, B e C was possible to identifiy nine subgroups, the morphologic and morphometric characteristics allowed to suggest the surgical treatment in the patients of the group A had larger chance of TD, the group B of TP and the group C of TPD. The mortality presented larger correlation with the morphologic characteristics that with the morphometric.
publishDate 2003
dc.date.none.fl_str_mv 2003-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382003000100007
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382003000100007
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0102-76382003000100007
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
dc.source.none.fl_str_mv Brazilian Journal of Cardiovascular Surgery v.18 n.1 2003
reponame:Brazilian Journal of Cardiovascular Surgery (Online)
instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron:SBCCV
instname_str Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron_str SBCCV
institution SBCCV
reponame_str Brazilian Journal of Cardiovascular Surgery (Online)
collection Brazilian Journal of Cardiovascular Surgery (Online)
repository.name.fl_str_mv Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
repository.mail.fl_str_mv ||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br
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