Influence of left ventricular cavity size on interventricular shunt timing and outcome in neonates with coarctation of the aorta and ventricular septal defect

L Y Tani; L L Minich; J A Hawkins; L T Pagotto; R E Shaddy

doi:10.1016/s0002-9149(99)00429-4

Influence of left ventricular cavity size on interventricular shunt timing and outcome in neonates with coarctation of the aorta and ventricular septal defect

Am J Cardiol. 1999 Sep 15;84(6):750-2, A9. doi: 10.1016/s0002-9149(99)00429-4.

Authors

L Y Tani¹, L L Minich, J A Hawkins, L T Pagotto, R E Shaddy

Affiliation

¹ Department of Pediatrics, Primary Children's Medical Center and the University of Utah, Salt Lake City 84113, USA. [email protected]

PMID: 10498153
DOI: 10.1016/s0002-9149(99)00429-4

Abstract

In this study, we reviewed the records and echocardiograms of 39 consecutive patients with coarctation of the aorta and ventricular septal defect who underwent neonatal coarctation repair to examine the influence of left heart size on ventricular shunting and outcome. We found smaller left heart structures (initial mitral and aortic annular diameters) to be associated with diastolic interventricular shunting and to be predictive of the development of mitral or aortic and/or subaortic stenosis.

MeSH terms

Aortic Coarctation / diagnostic imaging*
Aortic Coarctation / physiopathology
Aortic Coarctation / surgery
Aortic Valve / diagnostic imaging
Aortic Valve / physiopathology
Cardiac Volume / physiology*
Echocardiography, Doppler*
Female
Follow-Up Studies
Heart Septal Defects, Ventricular / diagnostic imaging*
Heart Septal Defects, Ventricular / physiopathology
Heart Septal Defects, Ventricular / surgery
Hemodynamics / physiology*
Humans
Infant
Infant, Newborn
Male
Mitral Valve / diagnostic imaging
Mitral Valve / physiopathology
Postoperative Complications / diagnostic imaging*
Treatment Outcome
Ventricular Function, Left / physiology*