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The Journal of Thoracic and Cardiovascular Surgery, Vol 81, 762-767, Copyright © 1981 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
H Matsuda, Y Kawashima, H Takano, K Miyamoto and T Mori
Right ventricular bypass operations were performed in dogs by right
atrium--pulmonary artery (RA-PA) conduits with closure of the tricuspid
valve. Atrial fibrillation (AF) was induced in prebypass (control) and
postbypass (postconduit) studies. Six dogs tolerated the procedure and had
postoperative sinus rhythm (SR). In the postconduit studies, AF resulted in
significant decline in both mean arterial pressure (73 +/- 2 to 65 +/- 2 mm
Hg [mean +/- SEM], p less than 0.05) and pulmonary blood flow (1,050 +/-
160 to 880 +/- 110 ml/min, p less than 0.05). However, there were no
significant differences between the magnitude of these changes and those
during control studies. Mean right atrial pressure was markedly elevated
(17.3 +/- 1.3 mm Hg) during SR after the conduit operations, but it did not
increase significantly with AF. In volume load studies, pulmonary blood
flow increased in proportion to rises between 15 and 30 mm Hg in mean right
atrial pressure. The results suggest that right atrial contraction is not
critical to the maintenance of pulmonary blood flow following RA-PA conduit
operations.
ARTICLES
Experimental evaluation of atrial function in right atrium--pulmonary artery conduit operation for tricuspid atresia
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