Plasma Thromboxane B_2 Concentration in Patients With Ventricular Septal Defect and Pulmonary Hypertension

  • FUSE Shigeto
    Department of Pediatrics, Sapporo Medical University School of Medicine
  • TOMITA Hideshi
    Department of Pediatrics, Sapporo Medical University School of Medicine
  • CHIBA Shunzo
    Department of Pediatrics, Sapporo Medical University School of Medicine

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Plasma thromboxane B_2 (TXB_2)-a stable metabolite of thromboxane A_2 (TXA_2)-conventional hemodynamic parameters, mean pulmonary input energy (input energy), and mean pulmonary output energy (output encrgy) were measured to assess platelet activation in 21 patients with pulmonary hypertension and a ventricular septal defect (VSD). The patients were divided into 2 groups: group A (normal range) and group B (high level). TXB_2 levels were measured by radioimmunoassay. There was no relationship between plasma TXB_2 concentrations and conventional hemodynamic parameters except the pulmonary-to-systemic pressure ratio. Output-to-input energy ratio was correlated logarithmically with the plasma TXB_2 concentration. We concluded that patients with output/input energy ratio >0.15 had a high TXB_2 concentration and activated platelets in pulmonary capillaries.

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