0 188

Cited 12 times in

Factors associated with progression of right ventricular enlargement and dysfunction after repair of tetralogy of Fallot based on serial cardiac magnetic resonance imaging

DC FieldValueLanguage
dc.contributor.author김남균-
dc.contributor.author김영진-
dc.contributor.author박영환-
dc.contributor.author박한기-
dc.contributor.author신유림-
dc.contributor.author정조원-
dc.contributor.author최재영-
dc.date.accessioned2017-10-26T07:41:16Z-
dc.date.available2017-10-26T07:41:16Z-
dc.date.issued2016-
dc.identifier.issn1010-7940-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/152385-
dc.description.abstractOBJECTIVES: Although progressive right ventricular (RV) enlargement (RVE) is common in patients with pulmonary regurgitation after tetralogy of Fallot (TOF) repair, the rate of RVE and progression of RV dysfunction varies among patients. The present study aimed to investigate the independent predictors of rapid RVE and RV dysfunction after the repair of TOF, using serial cardiac magnetic resonance imaging (MRI). METHODS: The study included consecutive patients who underwent serial cardiac MRI more than twice between January 2005 and March 2015 after the repair of TOF. Patients who underwent surgical pulmonary valve implantation or any transcatheter cardiac intervention between two consecutive MRI assessments were excluded. The study patients were divided into rapid RVE and non-rapid RVE groups according to the rate of RVE. The upper first quartile of the patients was considered to have rapid RV dilatation (defined as rapid RVE group). Remaining patients in other three quartiles were included in the non-rapid RVE group. Additionally, the study patients were divided into rapid right ventricular ejection fraction (RVEF) change and non-rapid RVEF change groups according to the rate of change in the RVEF. The groups were compared, and multiple logistic regression analyses were performed to identify the independent risk factors for rapid RVE and RV dysfunction. RESULTS: The study included 116 patients. The mean number of cardiac MRI assessments performed in each patient was 2.8 ± 0.8. The time to the initial MRI assessment after TOF repair was 14.2 ± 10.3 years, and the interval between the initial and last MRI assessments was 4.5 ± 2.2 years. The mean right ventricular end-diastolic volume index (RVEDVi) change rate was 2.7 ± 6.1 ml/m(2)/year. The initial RVEDVi was not different between the rapid RVE and non-rapid RVE groups. Restrictive RV physiology was an independent risk factor for rapid RVE (odds ratio, 3.64; 95% confidence interval, 1.263-10.494; P = 0.02), and a previous palliative shunt procedure was a negative predictor for rapid RVE (odds ratio, 0.08; 95% confidence interval, 0.010-0.778; P = 0.03). We did not find any predictive factors for rapid RV dysfunction. CONCLUSIONS: In patients with rapid RV dilatation, restrictive RV physiology might be frequently noted at the initial MRI assessment. Therefore, careful follow-up may be necessary in patients with restrictive RV physiology to determine the optimal timing of pulmonary valve implantation.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier Science-
dc.relation.isPartOfEUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHChild-
dc.subject.MESHChild, Preschool-
dc.subject.MESHDilatation, Pathologic/diagnostic imaging-
dc.subject.MESHDilatation, Pathologic/etiology-
dc.subject.MESHDisease Progression-
dc.subject.MESHFemale-
dc.subject.MESHHeart Ventricles/diagnostic imaging-
dc.subject.MESHHeart Ventricles/pathology-
dc.subject.MESHHumans-
dc.subject.MESHInfant-
dc.subject.MESHInfant, Newborn-
dc.subject.MESHMagnetic Resonance Imaging/methods-
dc.subject.MESHMale-
dc.subject.MESHPostoperative Complications/diagnostic imaging*-
dc.subject.MESHPulmonary Valve Insufficiency/etiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHTetralogy of Fallot/surgery*-
dc.subject.MESHVentricular Dysfunction, Right/diagnostic imaging-
dc.subject.MESHVentricular Dysfunction, Right/etiology*-
dc.titleFactors associated with progression of right ventricular enlargement and dysfunction after repair of tetralogy of Fallot based on serial cardiac magnetic resonance imaging-
dc.typeArticle-
dc.publisher.locationGermany-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Pediatrics-
dc.contributor.googleauthorYu Rim Shin-
dc.contributor.googleauthorJo Won Jung-
dc.contributor.googleauthorNam Kyun Kim-
dc.contributor.googleauthorJae Young Choi-
dc.contributor.googleauthorYoung Jin Kim-
dc.contributor.googleauthorHong Ju Shin-
dc.contributor.googleauthorYoung-Hwan Park-
dc.contributor.googleauthorHan Ki Park?-
dc.identifier.doi10.1093/ejcts/ezw049-
dc.contributor.localIdA00727-
dc.contributor.localIdA01574-
dc.contributor.localIdA01729-
dc.contributor.localIdA02128-
dc.contributor.localIdA03720-
dc.contributor.localIdA04174-
dc.contributor.localIdA00355-
dc.relation.journalcodeJ00811-
dc.identifier.eissn1873-734X-
dc.identifier.pmid26984986-
dc.identifier.urlhttps://academic.oup.com/ejcts/article-lookup/doi/10.1093/ejcts/ezw049-
dc.subject.keywordMagnetic resonance imaging-
dc.subject.keywordProgressive right ventricular enlargement-
dc.subject.keywordTetralogy of Fallot-
dc.contributor.alternativeNameKim, Nam Kyun-
dc.contributor.alternativeNameKim, Young Jin-
dc.contributor.alternativeNamePark, Young Hwan-
dc.contributor.alternativeNamePark, Han Ki-
dc.contributor.alternativeNameShin, Yu Rim-
dc.contributor.alternativeNameJung, Jo Won-
dc.contributor.alternativeNameChoi, Jae Young-
dc.contributor.affiliatedAuthorKim, Young Jin-
dc.contributor.affiliatedAuthorPark, Young Hwan-
dc.contributor.affiliatedAuthorPark, Han Ki-
dc.contributor.affiliatedAuthorShin, Yu Rim-
dc.contributor.affiliatedAuthorJung, Jo Won-
dc.contributor.affiliatedAuthorChoi, Jae Young-
dc.contributor.affiliatedAuthorKim, Nam Kyun-
dc.citation.volume50-
dc.citation.number3-
dc.citation.startPage464-
dc.citation.endPage469-
dc.identifier.bibliographicCitationEUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, Vol.50(3) : 464-469, 2016-
dc.date.modified2017-10-24-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.