Impact of pressure recovery on the assessment of pulmonary homograft function using Doppler ultrasound

Autor: Jan‐Christian Reil, Christoph Marquetand, Claudia Busch‐Tilge, Jule Rohde, Edda Bahlmann, Anas Aboud, Ingo Eitel, Stephan Ensminger, Efstratios I. Charitos, Gert‐Hinrich Reil, Ulrich Stierle
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Physiological Reports, Vol 10, Iss 23, Pp n/a-n/a (2022)
Druh dokumentu: article
ISSN: 2051-817X
DOI: 10.14814/phy2.15432
Popis: Abstract Relevant pressure recovery (PR) has been shown to increase functional stenotic aortic valve orifice area and reduce left ventricular load. However, little is known about the relevance of PR in the pulmonary artery. The study examined the impact of PR using 2D‐echocardiography in the pulmonary artery distal to the degenerated homograft in patients after Ross surgery. Ninety‐two patients with pulmonary homograft were investigated by Doppler echocardiography (mean time interval after surgery 31 ± 26 months). PR was measured as a function of pulmonary artery diameter determined by computed tomography angiography. Homograft orifice area, valve resistance, and transvalvular stroke work were calculated with and without considering PR. PR decreased as the pulmonary artery diameter increased (r = −0.69, p
Databáze: Directory of Open Access Journals
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