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Heart and Vessels
Published in: Heart and Vessels 9/2023

04-01-2023 | Letter

Clinical implication of trend of pulmonary artery index following Fontan operation

Authors: Keijiro Ibuki, Teruhiko Imamura

Published in: Heart and Vessels | Issue 9/2023

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Excerpt

The pulmonary artery index (PAI) is a classical parameter to represent an indexed pulmonary artery size [1]. PAI has been referenced to consider the indication of Fontan operation. However, the clinical implication of its trend following Fontan operation and the factors associated with its trend remain uninvestigated. Kojima and colleagues demonstrated that PAI increased following Fontan operation in some patients [2]. Its increase was associated with more favorable post-Fontan hemodynamics. The use of phosphodiesterase type 5 inhibitor might be associated with its increase. Several concerns should further improve their findings. …
Literature
1.
Nakata S, Imai Y, Takanashi Y, Kurosawa H, Tezuka K, Nakazawa M, Ando M, Takao A (1984) A new method for the quantitative standardization of cross-sectional areas of the pulmonary arteries in congenital heart diseases with decreased pulmonary blood flow. J Thorac Cardiovasc Surg 88(4):610–619CrossRefPubMed
2.
Kojima T, Toda K, Nabeshima T, Yoshiba S, Kobayashi T, Sumitomo N (2022) Efficacy of a phosphodiesterase type 5 inhibitor on the pulmonary artery index and postoperative hemodynamics after a Fontan operation. Heart Vessels 37(11):1921–1927CrossRefPubMed
Metadata
Title
Clinical implication of trend of pulmonary artery index following Fontan operation
Authors
Keijiro Ibuki
Teruhiko Imamura
Publication date
04-01-2023
Publisher
Springer Japan
Published in
Heart and Vessels / Issue 9/2023
Print ISSN: 0910-8327
Electronic ISSN: 1615-2573
DOI
https://doi.org/10.1007/s00380-022-02225-6

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