[Measurement of right systolic time intervals in complete transposition of the great vessels. Value in the surveillance of ventricular function].
Right ventricular function was regularly assessed pre- and postoperatively by measuring right systolic time intervals at the aortic valve in 21 children with complete transposition of the great arteries. Twenty children underwent "physiological" surgical correction (Senning procedure) and one child with right ventricular hypokinesia underwent detransposition of the arteries. The mean value of the right ventricular pre ejection/ejection period ratio was 0.40 +/- 0.05; this was independent of age and no significant difference was observed between the pre- and postoperative periods (0.41 +/- 0.06 vs 0.39 +/- 0.04) at least with a maximum follow-up of 5 years. This index allows early diagnosis of right ventricular dysfunction and therefore helps to orientate the choice between "physiological" or "anatomical" surgical correction.
D002675:Child, Preschool; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006352:Heart Ventricles / Q000503:physiopathology*; D006801:Humans; D007223:Infant; D008297:Male; D009200:Myocardial Contraction; D011184:Postoperative Period; D013599:Systole; D014188:Transposition of Great Vessels / Q000503:physiopathology* / Q000601:surgery
Mesure des intervalles de temps systoliques droits dans la transposition complète des gros vaisseaux. Intérêt dans la surveillance de la fonction ventriculaire.