Loading…
Hemodynamic Assessment in Patients with One-and-a-Half Ventricle Repair Revealed by Four-Dimensional Flow Magnetic Resonance Imaging
We report hemodynamic findings in two patients with pulmonary atresia and intact ventricular septum (PAIVS) after “one-and-a-half ventricle repair” and placement of a bidirectional Glenn shunt using four-dimensional (4D) flow magnetic resonance imaging. Quantification of flow and analysis of flow pa...
Saved in:
Published in: | Pediatric cardiology 2013-02, Vol.34 (2), p.447-451 |
---|---|
Main Authors: | , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c411t-a3245f858fd3567d02a609337005b222a2026b3df7fbea0cb8c6f17fc96bc1db3 |
---|---|
cites | cdi_FETCH-LOGICAL-c411t-a3245f858fd3567d02a609337005b222a2026b3df7fbea0cb8c6f17fc96bc1db3 |
container_end_page | 451 |
container_issue | 2 |
container_start_page | 447 |
container_title | Pediatric cardiology |
container_volume | 34 |
creator | Uribe, Sergio Bächler, Pablo Valverde, Israel Crelier, Gérard R. Beerbaum, Philipp Tejos, Cristian Irarrazaval, Pablo |
description | We report hemodynamic findings in two patients with pulmonary atresia and intact ventricular septum (PAIVS) after “one-and-a-half ventricle repair” and placement of a bidirectional Glenn shunt using four-dimensional (4D) flow magnetic resonance imaging. Quantification of flow and analysis of flow patterns revealed the hemodynamic “battle” between the right ventricle (RV) and the Glenn shunt. Moreover, with a novel approach we calculated during Glenn anastomosis the flow distribution from the superior vena cava (SVC) to the pulmonary arteries. Our results showed a highly asymmetric flow distribution, with most of the flow from the SVC toward the RV and not to the lungs. The evidence provided by 4D flow demonstrates poor efficiency of this system and suggests that both patients might benefit from adding an artificial pulmonary valve to avoid right heart failure. |
doi_str_mv | 10.1007/s00246-012-0288-6 |
format | article |
fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1288995645</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A715523245</galeid><sourcerecordid>A715523245</sourcerecordid><originalsourceid>FETCH-LOGICAL-c411t-a3245f858fd3567d02a609337005b222a2026b3df7fbea0cb8c6f17fc96bc1db3</originalsourceid><addsrcrecordid>eNp9kcFu1DAQhi0EokvhAbggS1y4uIydxMkeV4VlKxUVVcDVcpxxcJU4i52l2jsPzqxSkJAQ8mGsme8fj-dn7KWECwlQv80AqtQCpBKgmkboR2wly0IJua7lY7YCWVNFl8UZe5bzHQA00FRP2ZlSZVkXDazYzx2OU3eMdgyOb3LGnEeMMw-Rf7JzoGvm92H-xm8iChs7YcXODp5_pUoKbkB-i3sbEoUfaAfseHvk2-mQxLtAjXKYoh34dpju-UfbR5zpmVvMlI0O-dVo-xD75-yJt0PGFw_xnH3Zvv98uRPXNx-uLjfXwpVSzsIWqqx8UzW-Kypdd6CshnVR1ABVq5SyCpRui87XvkULrm2c9rL2bq1bJ7u2OGdvlr77NH0_YJ7NGLLDYbARp0M2kpa4Xle6rAh9vaA9fcqE6Kc5WXfCzaaWVaVOsxB18Q-KToe0zymiD5T_SyAXgUtTzgm92acw2nQ0EszJU7N4ashTc_LUaNK8epj60I7Y_VH8NpEAtQCZSrHHZO7IANp7_k_XX3fuq54</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1288995645</pqid></control><display><type>article</type><title>Hemodynamic Assessment in Patients with One-and-a-Half Ventricle Repair Revealed by Four-Dimensional Flow Magnetic Resonance Imaging</title><source>Springer Nature</source><creator>Uribe, Sergio ; Bächler, Pablo ; Valverde, Israel ; Crelier, Gérard R. ; Beerbaum, Philipp ; Tejos, Cristian ; Irarrazaval, Pablo</creator><creatorcontrib>Uribe, Sergio ; Bächler, Pablo ; Valverde, Israel ; Crelier, Gérard R. ; Beerbaum, Philipp ; Tejos, Cristian ; Irarrazaval, Pablo</creatorcontrib><description>We report hemodynamic findings in two patients with pulmonary atresia and intact ventricular septum (PAIVS) after “one-and-a-half ventricle repair” and placement of a bidirectional Glenn shunt using four-dimensional (4D) flow magnetic resonance imaging. Quantification of flow and analysis of flow patterns revealed the hemodynamic “battle” between the right ventricle (RV) and the Glenn shunt. Moreover, with a novel approach we calculated during Glenn anastomosis the flow distribution from the superior vena cava (SVC) to the pulmonary arteries. Our results showed a highly asymmetric flow distribution, with most of the flow from the SVC toward the RV and not to the lungs. The evidence provided by 4D flow demonstrates poor efficiency of this system and suggests that both patients might benefit from adding an artificial pulmonary valve to avoid right heart failure.</description><identifier>ISSN: 0172-0643</identifier><identifier>EISSN: 1432-1971</identifier><identifier>DOI: 10.1007/s00246-012-0288-6</identifier><identifier>PMID: 22447380</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Adolescent ; Arteriovenous Shunt, Surgical - methods ; Cardiac Surgery ; Cardiology ; Case Report ; Female ; Heart Ventricles - abnormalities ; Heart Ventricles - surgery ; Hemodynamics ; Humans ; Image Processing, Computer-Assisted ; Magnetic resonance imaging ; Magnetic Resonance Imaging, Cine - methods ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Pulmonary Artery - surgery ; Pulmonary Atresia - diagnosis ; Pulmonary Atresia - physiopathology ; Pulmonary Atresia - surgery ; Vascular Surgery ; Vena Cava, Superior - surgery</subject><ispartof>Pediatric cardiology, 2013-02, Vol.34 (2), p.447-451</ispartof><rights>Springer Science+Business Media, LLC 2012</rights><rights>COPYRIGHT 2013 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-a3245f858fd3567d02a609337005b222a2026b3df7fbea0cb8c6f17fc96bc1db3</citedby><cites>FETCH-LOGICAL-c411t-a3245f858fd3567d02a609337005b222a2026b3df7fbea0cb8c6f17fc96bc1db3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22447380$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Uribe, Sergio</creatorcontrib><creatorcontrib>Bächler, Pablo</creatorcontrib><creatorcontrib>Valverde, Israel</creatorcontrib><creatorcontrib>Crelier, Gérard R.</creatorcontrib><creatorcontrib>Beerbaum, Philipp</creatorcontrib><creatorcontrib>Tejos, Cristian</creatorcontrib><creatorcontrib>Irarrazaval, Pablo</creatorcontrib><title>Hemodynamic Assessment in Patients with One-and-a-Half Ventricle Repair Revealed by Four-Dimensional Flow Magnetic Resonance Imaging</title><title>Pediatric cardiology</title><addtitle>Pediatr Cardiol</addtitle><addtitle>Pediatr Cardiol</addtitle><description>We report hemodynamic findings in two patients with pulmonary atresia and intact ventricular septum (PAIVS) after “one-and-a-half ventricle repair” and placement of a bidirectional Glenn shunt using four-dimensional (4D) flow magnetic resonance imaging. Quantification of flow and analysis of flow patterns revealed the hemodynamic “battle” between the right ventricle (RV) and the Glenn shunt. Moreover, with a novel approach we calculated during Glenn anastomosis the flow distribution from the superior vena cava (SVC) to the pulmonary arteries. Our results showed a highly asymmetric flow distribution, with most of the flow from the SVC toward the RV and not to the lungs. The evidence provided by 4D flow demonstrates poor efficiency of this system and suggests that both patients might benefit from adding an artificial pulmonary valve to avoid right heart failure.</description><subject>Adolescent</subject><subject>Arteriovenous Shunt, Surgical - methods</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Case Report</subject><subject>Female</subject><subject>Heart Ventricles - abnormalities</subject><subject>Heart Ventricles - surgery</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging, Cine - methods</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Pulmonary Artery - surgery</subject><subject>Pulmonary Atresia - diagnosis</subject><subject>Pulmonary Atresia - physiopathology</subject><subject>Pulmonary Atresia - surgery</subject><subject>Vascular Surgery</subject><subject>Vena Cava, Superior - surgery</subject><issn>0172-0643</issn><issn>1432-1971</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp9kcFu1DAQhi0EokvhAbggS1y4uIydxMkeV4VlKxUVVcDVcpxxcJU4i52l2jsPzqxSkJAQ8mGsme8fj-dn7KWECwlQv80AqtQCpBKgmkboR2wly0IJua7lY7YCWVNFl8UZe5bzHQA00FRP2ZlSZVkXDazYzx2OU3eMdgyOb3LGnEeMMw-Rf7JzoGvm92H-xm8iChs7YcXODp5_pUoKbkB-i3sbEoUfaAfseHvk2-mQxLtAjXKYoh34dpju-UfbR5zpmVvMlI0O-dVo-xD75-yJt0PGFw_xnH3Zvv98uRPXNx-uLjfXwpVSzsIWqqx8UzW-Kypdd6CshnVR1ABVq5SyCpRui87XvkULrm2c9rL2bq1bJ7u2OGdvlr77NH0_YJ7NGLLDYbARp0M2kpa4Xle6rAh9vaA9fcqE6Kc5WXfCzaaWVaVOsxB18Q-KToe0zymiD5T_SyAXgUtTzgm92acw2nQ0EszJU7N4ashTc_LUaNK8epj60I7Y_VH8NpEAtQCZSrHHZO7IANp7_k_XX3fuq54</recordid><startdate>20130201</startdate><enddate>20130201</enddate><creator>Uribe, Sergio</creator><creator>Bächler, Pablo</creator><creator>Valverde, Israel</creator><creator>Crelier, Gérard R.</creator><creator>Beerbaum, Philipp</creator><creator>Tejos, Cristian</creator><creator>Irarrazaval, Pablo</creator><general>Springer-Verlag</general><general>Springer</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130201</creationdate><title>Hemodynamic Assessment in Patients with One-and-a-Half Ventricle Repair Revealed by Four-Dimensional Flow Magnetic Resonance Imaging</title><author>Uribe, Sergio ; Bächler, Pablo ; Valverde, Israel ; Crelier, Gérard R. ; Beerbaum, Philipp ; Tejos, Cristian ; Irarrazaval, Pablo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-a3245f858fd3567d02a609337005b222a2026b3df7fbea0cb8c6f17fc96bc1db3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Arteriovenous Shunt, Surgical - methods</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Case Report</topic><topic>Female</topic><topic>Heart Ventricles - abnormalities</topic><topic>Heart Ventricles - surgery</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging, Cine - methods</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Pulmonary Artery - surgery</topic><topic>Pulmonary Atresia - diagnosis</topic><topic>Pulmonary Atresia - physiopathology</topic><topic>Pulmonary Atresia - surgery</topic><topic>Vascular Surgery</topic><topic>Vena Cava, Superior - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Uribe, Sergio</creatorcontrib><creatorcontrib>Bächler, Pablo</creatorcontrib><creatorcontrib>Valverde, Israel</creatorcontrib><creatorcontrib>Crelier, Gérard R.</creatorcontrib><creatorcontrib>Beerbaum, Philipp</creatorcontrib><creatorcontrib>Tejos, Cristian</creatorcontrib><creatorcontrib>Irarrazaval, Pablo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Uribe, Sergio</au><au>Bächler, Pablo</au><au>Valverde, Israel</au><au>Crelier, Gérard R.</au><au>Beerbaum, Philipp</au><au>Tejos, Cristian</au><au>Irarrazaval, Pablo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hemodynamic Assessment in Patients with One-and-a-Half Ventricle Repair Revealed by Four-Dimensional Flow Magnetic Resonance Imaging</atitle><jtitle>Pediatric cardiology</jtitle><stitle>Pediatr Cardiol</stitle><addtitle>Pediatr Cardiol</addtitle><date>2013-02-01</date><risdate>2013</risdate><volume>34</volume><issue>2</issue><spage>447</spage><epage>451</epage><pages>447-451</pages><issn>0172-0643</issn><eissn>1432-1971</eissn><abstract>We report hemodynamic findings in two patients with pulmonary atresia and intact ventricular septum (PAIVS) after “one-and-a-half ventricle repair” and placement of a bidirectional Glenn shunt using four-dimensional (4D) flow magnetic resonance imaging. Quantification of flow and analysis of flow patterns revealed the hemodynamic “battle” between the right ventricle (RV) and the Glenn shunt. Moreover, with a novel approach we calculated during Glenn anastomosis the flow distribution from the superior vena cava (SVC) to the pulmonary arteries. Our results showed a highly asymmetric flow distribution, with most of the flow from the SVC toward the RV and not to the lungs. The evidence provided by 4D flow demonstrates poor efficiency of this system and suggests that both patients might benefit from adding an artificial pulmonary valve to avoid right heart failure.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>22447380</pmid><doi>10.1007/s00246-012-0288-6</doi><tpages>5</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0172-0643 |
ispartof | Pediatric cardiology, 2013-02, Vol.34 (2), p.447-451 |
issn | 0172-0643 1432-1971 |
language | eng |
recordid | cdi_proquest_miscellaneous_1288995645 |
source | Springer Nature |
subjects | Adolescent Arteriovenous Shunt, Surgical - methods Cardiac Surgery Cardiology Case Report Female Heart Ventricles - abnormalities Heart Ventricles - surgery Hemodynamics Humans Image Processing, Computer-Assisted Magnetic resonance imaging Magnetic Resonance Imaging, Cine - methods Medical research Medicine Medicine & Public Health Medicine, Experimental Pulmonary Artery - surgery Pulmonary Atresia - diagnosis Pulmonary Atresia - physiopathology Pulmonary Atresia - surgery Vascular Surgery Vena Cava, Superior - surgery |
title | Hemodynamic Assessment in Patients with One-and-a-Half Ventricle Repair Revealed by Four-Dimensional Flow Magnetic Resonance Imaging |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T17%3A52%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Hemodynamic%20Assessment%20in%20Patients%20with%20One-and-a-Half%20Ventricle%20Repair%20Revealed%20by%20Four-Dimensional%20Flow%20Magnetic%20Resonance%20Imaging&rft.jtitle=Pediatric%20cardiology&rft.au=Uribe,%20Sergio&rft.date=2013-02-01&rft.volume=34&rft.issue=2&rft.spage=447&rft.epage=451&rft.pages=447-451&rft.issn=0172-0643&rft.eissn=1432-1971&rft_id=info:doi/10.1007/s00246-012-0288-6&rft_dat=%3Cgale_proqu%3EA715523245%3C/gale_proqu%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c411t-a3245f858fd3567d02a609337005b222a2026b3df7fbea0cb8c6f17fc96bc1db3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1288995645&rft_id=info:pmid/22447380&rft_galeid=A715523245&rfr_iscdi=true |