The Journal of Thoracic and Cardiovascular Surgery
Volume 134, Issue 6 , Pages 1397-1405 , December 2007

Subdiaphragmatic venous hemodynamics in patients with biventricular and Fontan circulation after diaphragm plication

  • Tain-Yen Hsia, MD

      Affiliations

    • Medical University of South Carolina, Charleston, SC
    • Corresponding Author InformationAddress for reprints: Tain-Yen Hsia, MD, Cardiothoracic Surgery, Medical University of South Carolina, 96 Jonathan Lucas St, CSB 409, Charleston, SC, 29425.
  • ,
  • Sachin Khambadkone, MD, MRCP

      Affiliations

    • Great Ormond Street Hospital for Children, NHS Trust, London, United Kingdom.
  • ,
  • Scott M. Bradley, MD

      Affiliations

    • Medical University of South Carolina, Charleston, SC
  • ,
  • Marc R. de Leval, MD, FRCS

      Affiliations

    • Great Ormond Street Hospital for Children, NHS Trust, London, United Kingdom.

Received 4 May 2007 ,Revised 17 July 2007 ,Accepted 24 July 2007.

  • Image Result

    Respiratory effect on hepatic venous flow in biventricular patients (BV) and biventricular patients with diaphragm plication (BV-DP). The data obtained in supine and upright positions are depicted. Qi

    Respiratory effect on hepatic venous flow in biventricular patients (BV) and biventricular patients with diaphragm plication (BV-DP). The data obtained in supine and upright positions are depicted. Qin, Inspiratory flow rate; Qex, expiratory flow rate. P values by unpaired and paired t tests as appropriate.

  • Image Result
    Respiratory effect on supine portal venous flow in biventricular and Fontan (TCPC) patients with and without a diaphragm plication. BV, Biventricular subjects; BV-DP, biventricular patients with diaph

    Respiratory effect on supine portal venous flow in biventricular and Fontan (TCPC) patients with and without a diaphragm plication. BV, Biventricular subjects; BV-DP, biventricular patients with diaphragm plication; TCPC-DP, Fontan patients with diaphragm plication; Qin, inspiratory flow rate; Qex, expiratory flow rate. P values by unpaired t tests.

  • Image Result
    Respiratory effect on hepatic venous flow in Fontan patients (TCPC) and Fontan patients with diaphragm plication (TCPC-DP). Qin, Inspiratory flow rate; Qex, expiratory flow rate. P values by unpaired

    Respiratory effect on hepatic venous flow in Fontan patients (TCPC) and Fontan patients with diaphragm plication (TCPC-DP). Qin, Inspiratory flow rate; Qex, expiratory flow rate. P values by unpaired and paired t tests as appropriate.

  • Image Result
    Respiratory effect on hepatic venous flow in biventricular subjects (BV). Each line joins supine to upright values in a single patient. P value by paired t test. Qin, Inspiratory flow rate; Qex, expir

    Respiratory effect on hepatic venous flow in biventricular subjects (BV). Each line joins supine to upright values in a single patient. P value by paired t test. Qin, Inspiratory flow rate; Qex, expiratory flow rate.

  • Image Result
    Respiratory effect on hepatic venous flow in Fontan patients (TCPC). Each line joins supine to upright values in a single patient. P value by paired t test. Qin, Inspiratory flow rate; Qex, expiratory

    Respiratory effect on hepatic venous flow in Fontan patients (TCPC). Each line joins supine to upright values in a single patient. P value by paired t test. Qin, Inspiratory flow rate; Qex, expiratory flow rate.

 Supported by a National Science Foundation International Postdoctoral Research Fellowship Award, Grant No. INT-9802808.Read at the Eighty-seventh Annual Meeting of The American Association for Thoracic Surgery, Washington, DC, May 5-9, 2007.

PII: S0022-5223(07)01346-3

doi: 10.1016/j.jtcvs.2007.07.044

The Journal of Thoracic and Cardiovascular Surgery
Volume 134, Issue 6 , Pages 1397-1405 , December 2007