Table 2.
Simulation Results of Surgical Options at Low and High PVR for All Patients
Patient A | Patient B | Patient C | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
mBT | BDG | ABGa | mBT | BDG | ABGa | mBT | BDG | ABGa | mBT | BDG | ABGa | C | BDG | ABGa | C | BDG | ABGa | |
Low PVR | High PVR | Low PVR | High PVR | Low PVR | High PVR | |||||||||||||
PVR, WU-m2 | 3.13 | 3.32 | 3.23 | 5.83 | 6.22 | 6.05 | 3.39 | 3.07 | 3.02 | 6.43 | 5.73 | 5.63 | 6.03 | 6.03 | 6.06 | 11.4 | 12 | 12.1 |
Pao, mm Hg | 50.4 | 58.4 | 56.4 | 48.5 | 54.3 | 52.3 | 50.7 | 55.3 | 50.7 | 47.5 | 51.3 | 48.8 | 40 | 44.5 | 43 | 40.6 | 43.7 | 42.3 |
Psys, mm Hg | 79.3 | 79.6 | 79.1 | 75.5 | 73 | 72 | 75.9 | 72.3 | 68.6 | 70.6 | 66.4 | 65 | 69.8 | 69.3 | 68.6 | 70 | 66.4 | 65.7 |
Ppulm, mm Hg | 17.1 | 11.6 | 13.7 | 21.8 | 15.1 | 17.7 | 11.3 | 6.72 | 7.94 | 15.1 | 8.93 | 11.1 | 12.4 | 11.5 | 13.4 | 18.1 | 17 | 19.5 |
Psvc, mm Hg | 8.39 | 12.7 | 15.2 | 6.97 | 15.9 | 18.8 | 4.3 | 7.82 | 10.2 | 3.13 | 9.89 | 13.1 | 5.18 | 12.5 | 14.8 | 4.84 | 17.8 | 20.3 |
CO, L/min | 1.63 | 1.08 | 1.17 | 1.5 | 0.92 | 1 | 1.23 | 0.78 | 0.84 | 1.11 | 0.68 | 0.76 | 1.39 | 1.04 | 1.11 | 1.37 | 0.93 | 0.98 |
Qs, L/min | 0.83 | 1.08 | 0.97 | 0.79 | 0.92 | 0.81 | 0.61 | 0.78 | 0.66 | 0.55 | 0.68 | 0.59 | 0.94 | 1.04 | 0.94 | 0.97 | 0.93 | 0.84 |
Qp, L/min | 0.81 | 0.61 | 0.75 | 0.71 | 0.52 | 0.64 | 0.63 | 0.43 | 0.54 | 0.56 | 0.38 | 049 | 0.46 | 0.57 | 0.66 | 0.4 | 0.45 | 0.52 |
Qshunt, L/mint | … | … | 0.2 | … | … | 0.18 | … | … | 0.18 | … | … | 0.17 | … | … | 0.17 | … | … | 0.14 |
Qp/Qs | 0.97 | 0.56 | 0.77 | 1.13 | 0.56 | 0.78 | 0.98 | 0.55 | 0.82 | 1.02 | 0.55 | 0.84 | 0.49 | 0.55 | 0.7 | 0.41 | 0.59 | 0.62 |
HL, Nm/min | 14.8 | 10.1 | 10.9 | 12.9 | 7.92 | 8.37 | 10.4 | 6.81 | 6.93 | 8.56 | 5.44 | 5.84 | 11.5 | 8.6 | 9.09 | 11.3 | 7.35 | 7.68 |
OD, mL/s | 2.14 | 3.17 | 2.99 | 1.93 | 2.61 | 2.43 | 1.39 | 2.06 | 1.9 | 1.13 | 1.7 | 1.63 | 1.64 | 3.03 | 2.83 | 1.42 | 2.53 | 2.37 |
Satao, % | 69 | 78.7 | 82.4 | 64.9 | 75.4 | 79.6 | 60.6 | 70.5 | 76.5 | 56.3 | 66.9 | 74.3 | 46.7 | 77.5 | 80.3 | 39.1 | 72.2 | 75.6 |
The ABG shunt was 3.5 mm in diameter with a 1.2-mm diameter circular nozzle.
ABG = assisted bidirectional Glenn; BDG = bidirectional Glenn; C = central shunt; CO = mean cardiac output; HL = ventricular load; mBT = modified Blalock-Taussig shunt; OD = systemic oxygen delivery; Pao = aortic average pressure; Ppulm = mean pulmonary artery pressure; Psvc = superior vena caval average pressure; Psys = systolic average pressure; PVR = pulmonary vascular resistance; Qp = pulmonary flow rate; Qs = systemic flow rate; Qp/Qs = pulmonary to systemic flow ratio; Qshunt = flow rate through the ABG shunt; Satao = oxygen saturation in the aorta.