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Direction of Preoperative Ventricular Shunting Affects Ventricular Mechanics After Tetralogy of Fallot Repair
Author(s) -
Marc E. Richmond,
Santos E. Cabreriza,
Jason Van Batavia,
T. Alexander Quinn,
Joshua Kanter,
Alan Weinberg,
Ralph S. Mosca,
Jan M. Quaegebeur,
Henry M. Spotnitz
Publication year - 2008
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.107.761080
Subject(s) - medicine , preload , cardiology , tetralogy of fallot , ventricle , diastole , stroke volume , ejection fraction , shunting , hemodynamics , heart disease , heart failure , blood pressure
Tetralogy of Fallot (TOF) typically results in clinical cyanosis or volume overload of the left ventricle (LV), depending on the direction and magnitude of shunting across the ventricular septal defect (VSD). The present study examines the effects of surgical TOF repair on LV mechanics and compares these changes between patients with VSD shunts that are predominantly right-to-left (R-L; "blue TOF") and those with VSD shunts that are predominantly left-to-right (L-R; "pink TOF").

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