Presentation is loading. Please wait.

Presentation is loading. Please wait.

Ventriculoarterial coupling in palliated hypoplastic left heart syndrome: Noninvasive assessment of the effects of surgical arch reconstruction and shunt.

Published byYuliana Hermanto Modified over 5 years ago

Similar presentations

Presentation on theme: "Ventriculoarterial coupling in palliated hypoplastic left heart syndrome: Noninvasive assessment of the effects of surgical arch reconstruction and shunt."— Presentation transcript:

1 Ventriculoarterial coupling in palliated hypoplastic left heart syndrome: Noninvasive assessment of the effects of surgical arch reconstruction and shunt type  Giovanni Biglino, PhD, Alessandro Giardini, MD, Hopewell N. Ntsinjana, MD, Silvia Schievano, PhD, Tain-Yen Hsia, MD, Andrew M. Taylor, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 148, Issue 4, Pages (October 2014) DOI: /j.jtcvs Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Examples of 3-dimensional (3D) volumes obtained from the 3D whole heart sequences, highlighting the planes selected for calculation of the cross-sectional areas of the transverse arch (At), isthmus/narrowing (An), and descending aorta (Ad). Two coractation indexes were computed for each patient (area ratio of the isthmus to the descending aorta [Risthmus] and of the isthmus to the surgically enlarged transverse arch [Rarch] = An/At). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 A, Calculation of wave speed c from the relationship between the velocity and area in the ascending aorta, with c yielded directly from the slope of the initial portion of the loop, when no reflected waves were expected in early systole. B, Sample of wave intensity (dI) profile, including forward and backward wave intensity (dI+ and dI−, respectively) separated by knowledge of the wave speed,19 highlighting the peaks of the forward compression wave (FCW) in early systole and forward expansion wave (FEW) at end systole. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 A, No relationship was found between the aortic distensibility and the interval from the Norwood procedure (approximately indicated by patient age at scanning). B, No relationship was found between the area ratio of the isthmus to the descending aorta (Rishtmus) and the peak of the forward compression wave (FCW) as an indicator of the ventricular maximum rate of pressure rise. C, A significant correlation was found between the peak FCW and the area ratio of the isthmus to the surgically enlarged transverse arch (Rarch), as an indicator of the size mismatch between the reconstructed aortic arch and the native descending aorta. D, A significant correlation indicated that patients with a lower ejection fraction (EF) also exhibited greater values of the indexed single ventricle mass (iSVM). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

5 Figure 4 Differences between patients with modified Blalock-Taussig (mBT) shunt and Sano shunt at the Norwood procedure were evaluated in terms of the following parameters: aortic distensibility, ejection fraction (EF), indexed end-diastolic volume (iEDV), indexed end-systolic volume (iESV), and—from the wave intensity analysis results—peak forward compression wave (FCW) and peak forward expansion wave (FEW). iSVM, Indexed single ventricle mass. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Download ppt "Ventriculoarterial coupling in palliated hypoplastic left heart syndrome: Noninvasive assessment of the effects of surgical arch reconstruction and shunt."

Similar presentations

Orlando Petrucci, MD, PhD, Philip R. Khoury, MS, Peter B

Orlando Petrucci, MD, PhD, Philip R. Khoury, MS, Peter B
Of mice and men and surgical transcatheter aortic valve insertion

Of mice and men and surgical transcatheter aortic valve insertion
Manuel J. Antunes, MD, PhD, DSc 

Manuel J. Antunes, MD, PhD, DSc 
Aortic valve replacement in low-flow, low-gradient aortic stenosis: Left ventricular ejection fraction matters  Victor Dayan, MD, PhD, Philippe Pibarot,

Aortic valve replacement in low-flow, low-gradient aortic stenosis: Left ventricular ejection fraction matters  Victor Dayan, MD, PhD, Philippe Pibarot,
Influence of surgical arch reconstruction methods on single ventricle workload in the Norwood procedure  Keiichi Itatani, MD, Kagami Miyaji, MD, PhD,

Influence of surgical arch reconstruction methods on single ventricle workload in the Norwood procedure  Keiichi Itatani, MD, Kagami Miyaji, MD, PhD,
Orlando Petrucci, MD, PhD, Philip R. Khoury, MS, Peter B

Orlando Petrucci, MD, PhD, Philip R. Khoury, MS, Peter B
Early mitral valve surgery for chronic severe mitral regurgitation optimizes left ventricular performance and left ventricular mass regression  Ken-ichi.

Early mitral valve surgery for chronic severe mitral regurgitation optimizes left ventricular performance and left ventricular mass regression  Ken-ichi.
Cardiac magnetic resonance imaging for the assessment of ventricular function, geometry, and viability before and after surgical ventricular reconstruction 

Cardiac magnetic resonance imaging for the assessment of ventricular function, geometry, and viability before and after surgical ventricular reconstruction 
Pirooz Eghtesady, MD, PhD, Anoop Brar, PhD, Matthew Hall, PhD 

Pirooz Eghtesady, MD, PhD, Anoop Brar, PhD, Matthew Hall, PhD 
Pulmonary valve replacement in repaired tetralogy of Fallot by left thoracotomy avoid ascending aorta injury  Roland Henaine, MD, Naoki Yoshimura, MD,

Pulmonary valve replacement in repaired tetralogy of Fallot by left thoracotomy avoid ascending aorta injury  Roland Henaine, MD, Naoki Yoshimura, MD,
Surgical strategy for Kommerell's diverticulum: Total arch replacement

Surgical strategy for Kommerell's diverticulum: Total arch replacement
Computational Analysis of Hybrid Norwood Circulation With Distal Aortic Arch Obstruction and Reverse Blalock-Taussig Shunt  Andres Ceballos, MS, I. Ricardo.

Computational Analysis of Hybrid Norwood Circulation With Distal Aortic Arch Obstruction and Reverse Blalock-Taussig Shunt  Andres Ceballos, MS, I. Ricardo.
Ultrasound, endoscopy, and the recurrent nerve

Ultrasound, endoscopy, and the recurrent nerve
Replacement of the ascending aorta in bicuspid aortic valve disease: Where do we draw the line?  Thoralf M. Sundt, MD  The Journal of Thoracic and Cardiovascular.

Replacement of the ascending aorta in bicuspid aortic valve disease: Where do we draw the line?  Thoralf M. Sundt, MD  The Journal of Thoracic and Cardiovascular.
Aortic arch geometry after the Norwood procedure: The value of arch angle augmentation  Tomomi Hasegawa, MD, PhD, Yoshihiro Oshima, MD, PhD, Ayako Maruo,

Aortic arch geometry after the Norwood procedure: The value of arch angle augmentation  Tomomi Hasegawa, MD, PhD, Yoshihiro Oshima, MD, PhD, Ayako Maruo,
Ross procedure in the setting of anomalous aortic origin of a coronary artery  Amit Pawale, MD, Bobby Yanagawa, MD, PhD, Robin Varghese, MD, Paul Stelzer,

Ross procedure in the setting of anomalous aortic origin of a coronary artery  Amit Pawale, MD, Bobby Yanagawa, MD, PhD, Robin Varghese, MD, Paul Stelzer,
Surgical therapy for ischemic heart failure: Single-center experience with surgical anterior ventricular restoration  Lorenzo Menicanti, MD, Serenella.

Surgical therapy for ischemic heart failure: Single-center experience with surgical anterior ventricular restoration  Lorenzo Menicanti, MD, Serenella.
The assisted bidirectional Glenn: A novel surgical approach for first-stage single- ventricle heart palliation  Mahdi Esmaily-Moghadam, PhD, Tain-Yen Hsia,

The assisted bidirectional Glenn: A novel surgical approach for first-stage single- ventricle heart palliation  Mahdi Esmaily-Moghadam, PhD, Tain-Yen Hsia,
Juan A. Crestanello, MD, Richard C. Daly, MD 

Juan A. Crestanello, MD, Richard C. Daly, MD 
Management of a Stenotic Right Ventricle-Pulmonary Artery Shunt Early After the Norwood Procedure  Tain-Yen Hsia, MD, Francesco Migliavacca, PhD, Giancarlo.

Management of a Stenotic Right Ventricle-Pulmonary Artery Shunt Early After the Norwood Procedure  Tain-Yen Hsia, MD, Francesco Migliavacca, PhD, Giancarlo.

Similar presentations

Ads by Google