Atrial septostomy benefits severe pulmonary hypertension patients by increase of left ventricular preload reserve

American Journal of Physiology - Heart and Circulatory Physiology

Volumn 302, Issue 12, 2012, Pages 2654-2662

  Koeken, Yvette ^a   Kuijpers, Nico H L ^a   Lumens, Joost ^b   Arts, Theo ^a   Delhaas, Tammo ^a  

^a MAASTRICHT UNIVERSITY   (Netherlands)

^b HAUT LÉVÊQUE HOSPITAL   (France)

Author keywords

Blood pressure; Circulation; Computer modeling; Exercise; Oxygen delivery

Indexed keywords

ARTICLE; BLALOCK HANLON OPERATION; BLOOD PRESSURE; DISEASE SEVERITY; EXERCISE; HEART ATRIUM SEPTUM DEFECT; HEART LEFT RIGHT SHUNT; HEART LEFT VENTRICLE; HEART LEFT VENTRICLE FILLING PRESSURE; HEART PRELOAD; HEART RIGHT ATRIUM PRESSURE; HEART RIGHT VENTRICLE FAILURE; HEART SURGERY; HEMODYNAMICS; HUMAN; LUNG CIRCULATION; OXYGEN SATURATION; PRIORITY JOURNAL; PULMONARY HYPERTENSION; SYSTEMIC CIRCULATION;

ATRIAL SEPTUM; BLOOD PRESSURE; EXERCISE; HEART; HEART VENTRICLES; HUMANS; HYPERTENSION, PULMONARY; MODELS, CARDIOVASCULAR; PULMONARY CIRCULATION;

EID: 84862529630     PISSN: 03636135     EISSN: 15221539     Source Type: Journal    
DOI: 10.1152/ajpheart.00072.2012     Document Type: Article

References (23)

1. Arts T, Delhaas T, Bovendeerd P, Verbeek X, Prinzen FW. Adaptation to mechanical load determines shape and properties of heart and circulation: the CircAdapt model. Am J Physiol Heart Circ Physiol 288: H1943-H1954, 2005.
2. Arts T, Lumens J, Kroon W, Delhaas T. Control of whole heart geometry by intramyocardial mechano-feedback: a model study. PLoS Comput Biol 8: e1002369, 2012.
3. Austen WG, Morrow AG, Berry WB. Experimental studies of the surgical treatment of primary pulmonary hypertension. J Thorac Cardiovasc Surg 48: 448-455, 1964.
4. Diller GP, Lammers AE, Haworth SG, Dimopoulos K, Derrick G, Bonhoeffer P, Gatzoulis MA, Francis DP. A modelling study of atrial septostomy for pulmonary arterial hypertension, and its effect on the state of tissue oxygenation and systemic blood flow. Cardiol Young 20: 25-32, 2010.
5. Diller GP, Uebing A, Willson K, Davies LC, Dimopoulos K, Thorne SA. Analytical identification of ideal pulmonary-systemic flow balance in patients with bidirectional cavopulmonary shunt and univentricular circulation: oxygen delivery or tissue oxygenation? Circulation 114:1243-1250, 2006.
6. Galie N, Hoeper MM, Humbert M, Torbicki A, Vachiery JL, Barbera JA. Guidelines for the diagnosis and treatment of pulmonary hypertension: the Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS), endorsed by the International Society of Heart and Lung Transplantation (ISHLT). Eur Heart J 30: 2493-2537, 2009.
7. Guyton AC, Hall JE. Textbook of Medical Physiology (12th ed.). Philadelphia, PA: W. B. Saunders, 2011.
8. Hausknecht MJ, Sims RE, Nihill MR, Cashion WR. Successful palliation of primary pulmonary hypertension by atrial septostomy. Am J Cardiol 65: 1045-1046, 1990.
9. Keogh AM, Mayer E, Benza RL, Corris P, Dartevelle PG, Frost AE. Interventional and surgical modalities of treatment in pulmonary hypertension. J Am Coll Cardiol 54: S67-S77, 2009.
10. Kerstein D, Levy PS, Hsu DT, Hordof AJ, Gersony WM, Barst RJ. Blade balloon atrial septostomy in patients with severe primary pulmonary hypertension. Circulation 91: 2028-2035, 1995.
11. Kurzyna M, Dabrowski M, Bielecki D, Fijalkowska A, Pruszczyk P, Opolski G. Atrial septostomy in treatment of end-stage right heart failure in patients with pulmonary hypertension. Chest 131: 977-983, 2007.
12. Lammers AE, Haworth SG, Diller GP. Atrial septostomy in patients with pulmonary hypertension: should it be recommended? Expert Rev Respir Med 5: 363-376, 2011.
13. Lumens J, Delhaas T, Kirn B, Arts T. Three-wall segment (TriSeg) model describing mechanics and hemodynamics of ventricular interaction. Ann Biomed Eng 37: 2234-2255, 2009.
14. Micheletti A, Hislop AA, Lammers A, Bonhoeffer P, Derrick G, Rees P. Role of atrial septostomy in the treatment of children with pulmonary arterial hypertension. Heart 92: 969-972, 2006.
15. Rothe CF. Point-counterpoint: active venoconstriction is/is not important in maintaining or raining end-diastolic volume and stroke volume during exercise and orthostasis. J Appl Physiol 101: 1262-1264, 2006.
16. Rothe CF. Reflex control of veins and vascular capacitance. Physiol Rev 63: 1281-1342, 1983.
17. Rothman A, Sklansky MS, Lucas VW, Kashani IA, Shaughnessy RD, Channick RN, Auger WR, Fedullo PF, Smith CM, Kriett JM, Ja-mieson SW. Atrial septostomy as a bridge to lung transplantation in patients with severe pulmonary hypertension. Am J Cardiol 84: 682-686, 1999.
18. Rozkovec A, Montanes P, Oakley CM. Factors that influence the outcome of primary pulmonary hypertension. Br Heart J 55: 449-458, 1986.
19. Sandoval J, Gaspar J, Pulido T, Bautista E, Martinez-Guerra ML, Zeballos M. Graded balloon dilation atrial septostomy in severe primary pulmonary hypertension. A therapeutic alternative for patients nonrespon-sive to vasodilator treatment. J Am Coll Cardiol 32: 297-304, 1998.
20. Santamore WP, Barnea O, Riordan CJ, Ross MP, Austin EH. Theoretical optimization of pulmonary-to-systemic flow ratio after a bidirectional cavopulmonary anastomosis. Am J Physiol Heart Circ Physiol 274: H694-H700, 1998.
21. Sherwood L. Human Physiology (6th ed.). Belmont, CA: Thomson Brooks/Cole, 2007.
22. Thanopoulos BD, Georgakopoulos D, Tsaousis GS, Simeunovic S. Percutaneous balloon dilatation of the atrial septum: immediate and midterm results. Heart 76: 502-506, 1996.
23. Zierer A, Melby SJ, Voeller RK, Moon MR. Interatrial shunt for chronic pulmonary hypertension: differential impact of low-flow vs. high-flow shunting. Am J Physiol Heart Circ Physiol 296: H639-H644, 2009.