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Right ventricular reversibility in adult congenital heart disease patients with volume overload

Research Project

Project/Area Number 15K19385
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Cardiovascular medicine
Research InstitutionKyushu University

Principal Investigator

Sakamoto Ichiro  九州大学, 大学病院, 医員 (90616616)

Project Period (FY) 2015-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2015: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords右室容量負荷 / 成人先天性心疾患 / 心房中隔欠損症 / 心臓MRI / 右室容量負荷の不可逆性
Outline of Final Research Achievements

Transcatheter closure of atrial septal defect (ASD) reportedly improves right ventricular (RV) function in patients with ASD. However, it remains uncertain whether transcatheter closure normalizes enlarged RV and its function in adult patients with advanced ASD. The aim of this study is to investigate the long-term impact of transcatheter closure on RV volume and function using cardiac magnetic resonance imaging (CMRI) in adult ASD patients. CMRI was performed at baseline and one-year after transcatheter ASD closure in 40 patients (Median age; 48 year-old: Qp/Qs=2.3). Ten age-matched healthy subjects were enrolled. The parameters of RV and LV were the followings: end-diastolic volume index (EDVI), end-systolic volume index (ESVI) and ejection fraction (EF). One-year after ASD closure, ASD patients showed larger RV volume than healthy subjects (106±3 vs. 77±7 mL in RVEDVI; 58±2 vs. 36±4 mL/m2 in RVESVI, p<0.01). RVEF was reduced (46±8 % vs 51±8 %, P<0.01).

Report

(3 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • Research Products

    (4 results)

All 2016 2015

All Presentation (4 results)

  • [Presentation] Percutaneous Closure Does not Normalize RV Volume and Function in Adult Patients2016

    • Author(s)
      坂本一郎
    • Organizer
      第25回日本心血管インターベンション治療学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2016-07-08
    • Related Report
      2016 Annual Research Report
  • [Presentation] 成人心房中隔欠損症では経皮的閉鎖で右室容量・機能は正常化しない2016

    • Author(s)
      坂本一郎
    • Organizer
      第52回日本小児循環器学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2016-07-07
    • Related Report
      2016 Annual Research Report
  • [Presentation] 成人では経皮的心房中隔欠損閉鎖術で右室容量負荷は完全には改善しない2016

    • Author(s)
      坂本一郎
    • Organizer
      第18回日本成人先天性心疾患学会学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2016-01-16
    • Related Report
      2015 Research-status Report
  • [Presentation] Fontan術後遠隔期の塞栓性イベントと出血性イベントに関する検討2015

    • Author(s)
      坂本一郎
    • Organizer
      第51回日本小児循環器学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2015-07-16
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2018-03-22  

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