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Effects of pulmonary vasodilator in patients with Fontan circulation

Research Project

Project/Area Number 17K09509
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cardiovascular medicine
Research InstitutionKyushu University

Principal Investigator

Sakamoto Ichiro  九州大学, 大学病院, 学術研究員 (90616616)

Co-Investigator(Kenkyū-buntansha) 筒井 裕之  九州大学, 医学研究院, 教授 (70264017)
Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
KeywordsFontan循環 / 酸素 / 中心静脈圧 / Fontan手術後 / 肺血管拡張薬 / 先天性心疾患
Outline of Final Research Achievements

The purpose of this study was to investigate the effect of pulmonary vasodilators in patients with Fontan surgery for functional single ventricular, the most severe congenital heart disease. Initially, we were thinking about the usefulness of pulmonary vasodilators, but the results of the nitric oxide tolerance test during cardiac catheterization were not good result. However, in the oxygen inhalation during cardiac catheterization using nasal oxygen administration of 2 L / min, not only the oxygen saturation was improved, but the central venous pressure was also reduced.

Academic Significance and Societal Importance of the Research Achievements

確立した治療方法のないFontan術後の患者に対して、急性効果ではあるが、Fontan手術後遠隔期の予後不良因子である「低酸素血症」と「中心静脈圧上昇」の2つを一つの治療で改善できる可能性を示すことができた。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (4 results)

All 2020 2019 2018

All Presentation (4 results)

  • [Presentation] O2 inhalation decreases CVP in adult patients with Fontan circulation2020

    • Author(s)
      坂本一郎
    • Organizer
      第22回日本成人先天性心疾患学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Oxygen Inhalation Decreased Central Venous Pressure in Adult Patients with Fontan Circulation2019

    • Author(s)
      坂本一郎
    • Organizer
      第23回日本心不全学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] High-flow Oxygen Inhalation Can Improve Hemodynamics in Adult Patients with Fontan Circulation2018

    • Author(s)
      坂本一郎
    • Organizer
      第83回日本循環器学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] Nitric Oxide Increased Cardiac Output in Adult Patients with relative high pulmonary vascular resistance index Late after Fontan Operation2018

    • Author(s)
      藤田鉄平
    • Organizer
      第82回日本循環器学会学術集会
    • Related Report
      2017 Research-status Report

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Published: 2017-04-28   Modified: 2021-02-19  

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