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Doctoral Thesis
DOI
10.11606/T.5.2004.tde-19102005-165530
Document
Author
Full name
Simone Rolim Fernandes Fontes Pedra
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2004
Supervisor
Committee
Sousa, José Eduardo Moraes Rego (President)
Andrade, José Lázaro de
Miyague, Nelson Itiro
Passarelli, Maria Lucia Bastos
Zielinsky, Paulo
Title in Portuguese
"Estudo da função ventricular esquerda e da circulação coronária em pacientes com transposição das grandes artérias corrigida pela técnica de Jatene: resultados tardios"
Keywords in Portuguese
CINEANGIOGRAFIA/métodos
CIRCULAÇÃO CORONÁRIA
CORONARIOPATIA/ultrasonografia
ECOCARDIOGRAFIA DOPLLER/métodos
FUNÇÃO VENTRICULAR ESQUERDA
SEGUIMENTOS
TRANSPOSIÇÃO GRANDES VASOS/cirurgia
Abstract in Portuguese
Vinte e cinco pacientes com tempo de evolução pós-operatório médio de 10,6 ± 5,4 anos após a Operação de Jatene foram submetidos à avaliação da função ventricular esquerda pela ecocardiografia em repouso e durante o estresse farmacológico e à avaliação da circulação coronária pela cinecoronariografia e ultra-som intracoronário. O grupo apresentou função sistólica normal, alteração da função diastólica e reserva miocárdica reduzida. O estudo angiográfico, realizado em vinte e dois casos não revelou obstruções das artérias coronárias. Ao estudo ultra-sonográfico observou-se em todos, espessamento da camada íntima sugerindo processo de aterosclerose coronária precoce
Title in English
Left ventricular function and coronary artery evaluation in the late follow-up after Jatene´s operation for transposition of the great arteries
Keywords in English
CINEANGIOGRAPHY/methods
CORONARY CIRCULATION
CORONARY DISEASE/ultrasonography
ECHOCARDIOGRAPHY DOPPLER/methods
FOLLOW-UP STUDIES
TRANSPOSITION OF GREAT VESSELS/surgery
VENTRICULAR FUNCTION LEFT
Abstract in English
Twenty-five patients underwent echocardiographic left ventricular function assessment at rest and during pharmacological stress and coronary circulation evaluation with coronary angiography and intracoronary ultrasound 10 ± 5,4 years after the arterial switch operation for transposition of the great arteries. Echocardiography revealed a normal left ventricular systolic function, impaired diastolic function and reduced myocardial reserve. No coronary obstruction was observed at angiography however intracoronary ultrasound showed intimal thickening in all, suggesting premature arterioscleroses
 
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Publishing Date
2005-10-20
 
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