Vascular consequences of subclavian artery transection for the treatment of congenital heart disease
| Autor: | James W. Mathewson, John J. Lamberti, Lily George, Allan H. Goodman, Lodge Fa, J D Waldman, Stanley E. Kirkpatrick |
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| Rok vydání: | 1983 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty animal structures Velocity waveform Heart disease business.industry medicine.disease complex mixtures Surgery medicine.artery embryonic structures polycyclic compounds medicine Aberrant left subclavian Forearm skin Brachial artery Cardiology and Cardiovascular Medicine business Subclavian artery |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 86:18-23 |
| ISSN: | 0022-5223 |
| DOI: | 10.1016/s0022-5223(19)39204-9 |
| Popis: | The acute and chronic consequences of subclavian artery transection were analyzed in the noninvasive vascular laboratory. Twenty-eight patients (aged 1 day to 42/12 years, median 2 months) underwent subclavian artery transection (23 Blalock-Taussig, four subclavian aortoplasty for coarctation or interrupted arch, and one division of aberrant left subclavian). Bilateral systolic brachial artery pressure (BAP) was measured by Doppler instrumentation to obtain a “BAP index”: BAP1 = (operated side BAP/control side BAP). Velocity waveform tracings and bilateral forearm skin temperatures were also obtained during studies before and sequentially after operation (4 hours to 12 years). Five patients underwent exercise testing of the upper extremity. Nine patients were studied for manual preference and limb development. Before operation, mean BAP, was 0.99. Immediately (4 to 48 hours) after operation, mean BAP, was 0.39. Three weeks postoperatively, BAP, was 0.62, and thereafter it remained at 0.70. All differences between preoperative, immediate postoperative and late postoperative BAP, are significant (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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