ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Shigeo Yamaki
Masato Endo
Takashi Tanaka
Koichi Tabayashi
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Yamaki, S.
Right arrow Articles by Takahashi, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Yamaki, S.
Right arrow Articles by Takahashi, T.

Ann Thorac Surg 1998;66:1560-1564
© 1998 The Society of Thoracic Surgeons

Original article: cardiovascular

Surgical indication for congenital heart disease with extremely thickened media of small pulmonary arteries

Shigeo Yamaki, MDa,b, Ai Abe, MDa,b, Masato Endo, MDa,b, Takashi Tanaka, MDa,b, Koichi Tabayashi, MDa,b, Tohru Takahashi, MDa,b

a Department of Cardiology, Katta General Hospital, Shiroishi, Sendai, Japan
b Department of Thoracic and Cardiovascular Surgery, Pediatrics, Tohoku University School of Medicine, Sendai, Japan

Accepted for publication May 18, 1998.

Address reprint requests to Dr Yamaki, Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, 980-8574, Japan
e-mail: (s-heart{at}mail.cc.tohoku.ac.jp)

Background. Nineteen patients (mean age, 7.6 months) with a percent wall thickness of more than 33% in the small pulmonary arteries were found to have extremely thickened media. Based on our findings, a criterion of operative indication is proposed.

Methods. The percentage of extremely thickened media of small pulmonary arteries for all pulmonary arteries was determined on microscopic lung sections and was introduced as an index for operative indication.

Results. Operative repair was performed in 16 patients: 9 died intraoperatively and 7 survived more than 12 months. In 4 of 5 patients that had pulmonary artery banding, medial hypertrophy remained despite pulmonary artery banding. Operative repair also had no positive effect. In operative and late deaths and in survivors without a decrease of pulmonary arterial pressure, the percentage of extremely thickened media of small pulmonary arteries was shown to be more than 10%, whereas in 5 survivors and 1 operative death with a significant postoperative decrease of pulmonary arterial pressure, the value was less than 7%.

Conclusions. If a patient has less than 7% of small pulmonary arteries with extremely thickened media, operative repair is likely to be effective. When the value is higher than 10%, not only operative repair but also pulmonary artery banding cannot be recommended because of ineffectiveness and hazard.




This article has been cited by other articles:


Home page
 ChestHome page
S. Yamaki, M. Kumate, S. Yonesaka, K. Maeda, M. Endo, and K. Tabayashi
Lung Biopsy Diagnosis of Operative Indication in Secundum Atrial Septal Defect With Severe Pulmonary Vascular Disease
Chest, October 1, 2004; 126(4): 1042 - 1047.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1998 by The Society of Thoracic Surgeons.