Surgery of congenital heart disease assessed by radionuclide scintigraphy
| Autor: | E K Dore, G F Gates, H W Orme |
|---|---|
| Rok vydání: | 1975 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Palliative care Lung medicine.diagnostic_test business.industry Anastomosis Scintigraphy Intracardiac injection Surgery Shunt (medical) Shunting Surgical anastomosis medicine.anatomical_structure medicine Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 69:767-775 |
| ISSN: | 0022-5223 |
| DOI: | 10.1016/s0022-5223(19)41513-4 |
| Popis: | Intravenous injection of 99mTc-labeled macroaggregated albumin (MAA) followed by lung and whole-body scintigraphy results in data from which magnitude of right-to-left shunting and distribution of pulmonary arterial blood flow can be calculated. This information is useful in assessing the functional capacity of a surgical systemic-pulmonic anastomosis. Malfunctioning anastomoses do not significantly reduce right-to-left shunting and may cause unilateral pulmonary hyperperfusion. However, preferential nuclide accumulation may occur in either lung, regardless of shunt function. Consequently, the degree of right-to-left shunting must be determined to fully assess a surgical anastomosis. This technique also allows for assessment of the reduction of right-to-left shunting after intracardiac repairs of congenital cardiac abnormalities. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|