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Clin Radiol ; 72(10): 900.e9-900.e15, 2017 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28622796

RESUMEN

AIM: To investigate cardiac magnetic resonance (CMR)-derived parameters to determine a convenient index reflecting the degree of pulmonary regurgitation (PR) after Tetralogy of Fallot (TOF) repair. MATERIALS AND METHODS: Sixty-three patients (age at CMR study, 23.6 [10.2-34.7] years, 55.6% male) underwent CMR after TOF repair. PR was quantified using ventricular stroke volume difference and phase-contrast mapping of the main pulmonary artery flow. In both approaches, the PRV index (PRVI) and the PR fraction (PRF) were calculated and correlated to the right ventricle end-diastolic volume index (RVEDVI) and the right ventricle end-systolic volume index (RVESVI). RESULTS: No statistically significant difference was observed between the PR volumes and the PRF measured by the stroke volume difference or the phase-contrast method. The PRVI was better correlated to RVEDVI and RVESVI than the PRF. CONCLUSION: The PRVI exhibits more correlation to the RVEDVI than PRF. Thus, it could be a preferable parameter to reflect the PR burden.


Asunto(s)
Imagen por Resonancia Magnética/métodos , Complicaciones Posoperatorias/diagnóstico por imagen , Insuficiencia de la Válvula Pulmonar/diagnóstico por imagen , Tetralogía de Fallot/cirugía , Adolescente , Adulto , Niño , Femenino , Humanos , Masculino , Válvula Pulmonar/diagnóstico por imagen , Reproducibilidad de los Resultados , Adulto Joven
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