The Value of the Sinusoidal tcPO2Pattern in the Evaluation and Management of Cyanotic Congenital Heart Disease with Ductus Dependent Lesions
作者:
Syuichiro Seki,
Tyuyomu Ikenoue,
Hisahiko Hokanishi,
Kunio Hayakawa,
期刊:
Pediatrics International
(WILEY Available online 1989)
卷期:
Volume 31,
issue 1
页码: 24-29
ISSN:1328-8067
年代: 1989
DOI:10.1111/j.1442-200X.1989.tb01265.x
出版商: Blackwell Publishing Ltd
关键词: Sinusoidal tcPO2pattern;Ductal dependency;Congenital heart disease
数据来源: WILEY
摘要:
A characteristic sinusoidal tcPO2pattern was observed in 17(27%) of 62 patients with congenital heart disease manifested by cyanosis or heart failure during the neonatal period. All of these 17 patients were definitively diagnosed by cardiac catheterization, as having 8 PPA; 3 ToF; 2 TCA+VSD+PA; 2 asplenia with PA; 1 TGA+VSD+PS; and 1 TA (no TCA type). The transcutaneous oxygen pressure pattern of these patients showed a sinusoidal change with a cycle length of 6–20 min with the maximum pressure not exceeding 50 torr and the minimum pressure occasionally close to 0 torr. This sinusoidal tcPO2pattern was associated with various types of ductus‐dependent congenital heart diseases and hence may be of diagnostic value. Transcutaneous oxygen pressure monitoring is also useful in evaluating the ductal response to PG. Other possible mechanisms underlying this phenomenon including biological oscillation should be conside
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