These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.
Pubmed for Handhelds
PUBMED FOR HANDHELDS
Search MEDLINE/PubMed
Title: Paradoxical ventricular septal motion after cardiac surgery. Analysis of M-mode echocardiograms and follow-up in 324 patients. Author: Schroeder E, Marchandise B, Schoevaerdts JC, Kremer R. Journal: Acta Cardiol; 1985; 40(3):315-24. PubMed ID: 3875201. Abstract: Ventricular septal wall motion, assessed by M-mode echocardiography, was analyzed, retrospectively, in 324 patients after open heart surgery (214 patients with valvular replacement, 110 patients with aorto-coronary bypass surgery); the mean follow-up was 14 months (1 month to 5 years). In the early (less than 1 month) postoperative period, an anterior systolic (paradoxical) motion of septum (PVSM) was observed in 66% of the patients with valvular surgery, and in 76% of those with coronary surgery. PVSM disappears progressively: one year after surgery, it occurs in only 21% of patients with valvular surgery and in 16% of patients with coronary surgery. There is no significant difference in frequency and evolution of PVSM between the different types of surgical interventions (valvular versus coronary surgery; aortic versus mitral surgery; single bypass graft versus multiple bypass grafts). The similar frequency and evolution of PVSM after aorto-coronary venous graft surgery and valvular replacement surgery support the hypothesis that PVSM would be the expression of a greater anterior systolic motion of the whole heart, related to the loss of pericardial restraint. PVSM disappears slowly after surgery, probably following the development of cardiothoracic adherences.[Abstract] [Full Text] [Related] [New Search]