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2022, vol. 13, br. 1, str. 1-10
Magnetna rezonanca srca kao metod dugoročnog praćenja funkcije desnog srca nakon operacije tetralogije Fallot
aUniversity Hospital Foča, The Republic of Srpska, Bosnia and Herzegovina
bUniverzitet u Istočnom Sarajevu, Medicinski fakultet, Foča, Republika Srpska, BiH

e-adresamilinkovic.biljana@yahoo.com
Sažetak
Uvod. Magnetna rezonanca srca (engl. Cardiac magnetic resonance - CMR) se smatra referentnom dijagnostičkom metodom za kvantifikaciju veličine i funkcije desne komore i pulmonalne regurgitacije kod pacijenata sa operisanom tetralogijom Fallot. Cilj ovog rada je da potvrdi važnost magnetno-rezonantnog kontinuiranog postoperativnog praćenja parametara funkcije desnog i lijevog srca kao dijagnostičke metode koja pruža najprecizniju i najtačniju procjenu. Metode. Opservaciono-prospektivna studija uključila je ispitanike sa operisanom TOF kojima su na kontrolnim postoperativnim ehokardiografskim pregledima utvrđeni rezidualni morfološki i/ili funkcionalni poremećaji. Svim ispitanicima je urađena magnetna rezonanca srca na skeneru jačine 1.5 T sa namjenskim zavojnicama za srčanu površinu prema standardnom protokolu u periodu od godinu dana od početka istraživanja. Kriterijumi za isključenje iz studije bili su: značajna rezidualna pulmonalna stenoza, stanje poslije zamjene pulmonalne valvule, postojanje rezidualnih šant lezija; kontraindikacije za magnetnu rezonancu srca (pace-maker, ICD, klaustrofobija). U zavisnosti od vremena proteklog od operacije tetralogije Fallot, ispitanici su podijeljeni u grupe: više od 15 godina, 11-15 godina, 6-10 godina, manje od 5 godina. Rezultati. Studijom je obuhvaćen 131 ispitanik prosječne starosti 24,18 ± 11,57 godina sa urađenom kompletnom korekcijom TOF. Dokazane međugrupne razlike u vrijednostima end-dijastolnog volumena desne komore, ejekcione frakcije desne komore, kao i ejekcione frakcije lijeve komore, ali nije bilo statistički značajne međugrupne razlike u vrijednosti frakcije pulmonalne regurgitacije. Negativna interreakcija desne i lijeve komore pojačava se u toku godina praćenja pacijenata nakon operacije TOF, što se posebno događa 15 godina nakon operacije. Zaključak. CMR ima najznačajniju ulogu u istraživačkim naporima usmjerenim na poboljšanje ishoda operisanih pacijenata sa tetralogijom Fallot.
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O članku

jezik rada: engleski
vrsta rada: originalan članak
DOI: 10.5937/BII2201001M
primljen: 25.10.2021.
prihvaćen: 12.04.2022.
objavljen u SCIndeksu: 16.09.2022.
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