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Ann Thorac Surg 1989;48:572-574
© 1989 The Society of Thoracic Surgeons

Articles

Right Ventricular Pressure Dynamics After Operation for Pulmonary Stenosis

Simcha Milo, MD*, Raphael Mohr, MD, Daniel A. Goor, MD

Department of Cardiac Surgery, Rambam Medical Center and Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, and Department of Thoracic and Cardiovascular Surgery, Chaim Sheba Medical Center, Tel Hashomer, Israel

Accepted for publication July 7, 1989.

* Address reprint requests to Dr Milo, Department of Cardiac Surgery, Rambam Medical Center, POB 9602, 31096 Haifa, Israel

Right ventricular pressure dynamics were monitored during the first 24 hours after operation for relief of pulmonary stenosis in 9 patients with dysplastic pulmonary valves who underwent total valvectomy. Rather than the expected immediate drop in pressure after total removal of the obstruction, right ventricular pressures required 18 to 24 hours to decrease to physiological values. In 7 patients, the pressures decreased steadily, but in 2, there was an increase in pressure immediately postoperatively, followed by a gradual decrease.




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