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REVIEW
PROTOCOLS and GUIDELINES
for
PERFUSION

National Cardiovascular Center

Harapan Kita
Jakarta, Indonesia
No part to be photocopied or otherwise reproduced without permission.

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Priming Formula

a. Clear Priming
Adult :
Crytaloid = Ringer Asetat 1500 mL
Coloid = Gelofusin 500 mL
Heparin = 5000 – 10.000 unit
Bicarbonat = 30 mEq
Manitol 20 % = 100 mL

Pediatric :
Crytaloid = Ringer Asetat 500 – 1000 mL
Coloid = Gelofusin 500 mL
Heparin = 5000 unit
Bicarbonat = 30 mEq
Manitol 20 % = 2,5 ml / Kg

b. Blood Priming
Wt < 6 Kg
 PRC = (depent on additional PRC calculation)
 Ringer Asetat = (depent on oxygenator and custom pack choice)
 Heparin = 3500 – 4000 unit
 Bicarbonat = 5 – 10 mEq
 Manitol 20 % = 2,5 ml / Kg
 CaCl2 = 1 mg / 1 ml additional blood

Wt 6 – 18 Kg
 PRC = (depent on additional PRC calculation)
 Ringer Asetat = (depent on oxygenator and custom pack choice)
 Heparin = 3500 – 4000 unit
 Bicarbonat = 20 mEq
 Manitol 20 % = 2,5 ml / Kg
 CaCl2 = 1 mg / 1 ml additional blood

Wt > 18 Kg (Clear Priming)

Packed Red Cells, Calcium Chloride, Albumin and Tranexamic acid are included in the prime if
indicated.
Indications
 Packed red cells:              Predicted on bypass below 27%
 Calcium chloride:              Use of citrated red cells in the prime.
 TA                    Consultant request.
 Albumin Consultant request.
 Methylprednisolone 20 – 30 mg/kg

Other drugs except those listed as perfusion prescribed, are added to the pump prime or during
CPB are added to the pump by the Perfusionist at the request of the surgeon / anaesthetist.

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Cardioplegia Formula

1. Clear Cardioplegia
Ringer Solution = 500 mL
Cardioplegia Solution St. Thomas = 10 mL
Bicarbonat = 5 mEq

Inducsion Doses = 20 mL / Kg BB
Injecting when cross clamp on until 4 minute

Maintenance Doses = 10 mL/ Kg BB

Injecting after 20 minute ishcemic period until 2 - 4 minute

2. Blood Cardioplegia
High K+
Ringer Asetat = 500 mL
Cardioplegia Solution St. Thomas = 40 mL
Bicarbonat = 30 mEq

Inducsion Doses (High K+) = 20 mL / Kg BB

Injecting when cross clamp on until 4 minute

Low K+
Ringer Asetat = 500 mL
Cardioplegia Solution St. Thomas = 20 mL
Bicarbonat = 30 mEq

Maintenance Doses (Low K+) = 10 mL/ Kg BB

Injeting after 20 minute ishcemic period until 2 - 4 minute

3. HTK-Custadiol Cardioplegia
Inducsion Doses = 50 - 60 mL / Kg BB (Pediatric)
= 2 Liter (Adult/maximum doses)
Injecting when cross clamp onuntil 5 - 8 minute (with infusion set or cardioplegia pump set)

CPG Flow
Adult case = 250 – 350 cc/kg/mnt
Pediatric Case = 5 – 8 % from Cardiac Output

CPG Pressure
Antegrade = 50 – 100 mmHg
Retrograde = 20 – 50 mmHg

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Choice of Circuit Components

1. Aortic Canula Sizes

Flow (mL/min) NOMOR ( Fr )

< 500 10
500-800 12
800-1150 14
1150-1700 16
1700-2500 18
2500-3300 21
>3300 24

Body Weight (Kg) NOMOR ( Fr )

<4 10
4–6 12
6–9 14
10 – 15 16
16 – 30 18
30 – 40 22
> 40 24

2. Femoral Arterial Canula Sizes

3. Venous Cannula Sizes

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a) Bi-caval canula

FLOW N0MOR ( Fr )
SVC/IVC ( DLP ) SVC/IVC ( BARDIC )
<650 12 16 18 20
650-1000 14 18 20 24
1000-1400 16 20 22 24
1400-2000 16 20 24 24
2000-2250 20 24 26 28
2250-2250 20 24 26 28
2500-2750 24 28 28 30
2750-3000 24 28 28 30
3000-3200 24 28 30 32
>3200 28 31 32 34

Body Weight (Kg) Nomor (Fr)

SVC IVC
<5 12 16
5 – 12 14 18
12 - 20 16 20
20 – 25 18 22
25 – 30 20 24
30 – 40 24 28
> 40 28 31

b) Right atrial/single canula

FLOW NOMOR ( Fr )
BARDIC RYGG
<450 20 21
450-900 22 24
700-900 24 24
900-1100 26 28
1100-1300 28 28
1300-1500 30 32
1500-2000 32 32
2000-2700 34 36
2700-3500 36 36
>3500 38 36

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c. Femoral Venous Cannula

4. Left Vent cannula

Nomor BW (Kg)
Left vent neonate (13 Fr) < 15 Kg
16 Fr 15 15 - 35
20 Fr > 35

5. Cardioplegia cannula.
a. Antegrade
Nomor BW (Kg)
Abocath 14 Fr < 20
ATC7 Fr 20 – 35
ATC12 Fr > 35

b. Retrograde
Nomor BW (Kg)
RC10 Fr <15
RC13 Fr 15 – 25
RC14 Fr 25 – 35

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6. Tubing Pack and Oxygenator Selection Guidelines

BB FLOW TUBING CUSTOM OXYGENATOR ESTIMASI

(Kg) (mL/mt) ARTER VENA PUMP PACK Vol.
I BOOT Priming
<4 <800 3/16 3/16 3/16 Liliput 1, Neonate II 300 – 400 mL

Baby RX
4 –10 800 – 1000 ¼ ¼ ¼ Baby Rx, Neonate II 400 – 500 mL

8 – 20 1000 – 2000 ¼ 3/8 3/8 Cx 10 R, Infant 600 – 800 mL

Minimax,
Liliput II
20 - 40 2000 – 3000 3/8 3/8 3/8 Cx 10 R, Pediatric 800 – 1000 mL

EOS
>40 >3000 3/8 1/2 1/2 Adult adult 1 – 1,5 L

Oxygenator

Do not select an oxygenator whose published Manufacturer recommended

blood flow rate range is exceeded by the blood flow prescribed for any given
patient by the chart above.

PERSIAPAN KOMPONEN DARAH

DALAM OPERASI JANTUNG TERBUKA

BB Asianoti Sianotik Keterangan

(Kg) k (mL)
(mL)
<6 500 2 1 500 3 2 Untuk Kasus Komplek dan Redo
persiapan darah masing – masing
6 – 20 500 3 2 500 4 4
komponen ditambah 1 unit kantong
20- 40 750 3 3 750 4 4 dan 2 stand by pendonor untuk darah
segar yang cocok
>40 1000 5 5 1000 5 5

Commonly used formula for cardiac surgery

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A. Body Surface Area (BSA)

1. Dubois Formula
BSA =Wt0,425x Ht0,725x 71,84
10,000
2. Boyd Formula

BSA = 3.207 x (Ht)3 x (Wt x 1000) 0,7285 – 0,0188 Log (Wt x 1000)

10,000
3. Square Root
BSA = Ht x Wt
3600
4. BSA Nomogram

B. Flow
Commonly used formula for cardiac surgery
1. Patients under 10 kg : Flow = weight x 150 ml/min/kg
2. Patients over 10 kg : Flow = 2400 ml/Sq.M./min
3. Blood flow rate (L/min) = Cardiac Index (L/min/m2) x BSA (m2)

Perfusion Flow Rate : Adult Pediatrik

(mL/min/kg) 50 – 75 80 – 100
(mL/min/m2) 2.2 – 2.4 2.8 – 3.0

Body Weight (kg) Flow (mL/min/Kg)

<5 200
5 – 10 170
10 – 20 135
20 – 30 100
30 – 60 85
> 60 60 – 70

C. Patient Blood Valume (BV)

1. Castaneda
Wt <10 Kg BV = 85 mL/Kg
Wt 10 – 20 Kg BV = 80 mL/Kg
Wt 20 – 30 Kg BV = 75 mL/Kg
Wt 30 – 40 Kg BV = 70 mL/Kg
Wt >40 Kg BV = 65 mL/Kg

2. This parameter is age dependent and is only approximate.

a. 0 - 6 months BV = 100 ml/kg
b. 6 months - 18 months BV = 90 ml/kg

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c. 18 months - and older BV = 80 ml/kg

3. Blood Volume based on gender

Male : 0,3699 x Ht3 + 0,03219 x Wt + 0,6041
Female : 0,361 x Ht3 + 0,03308 x Wt + 0,1833

D. Hemodilution
a. General dilution V1 x C1 = V2 x C2

V1 = BV
C1= Htc Pre CPB
V2= BV + Total Prime
Total prime volume varies according to types of oxygenator used
C2= Htc in CPB

b. Hct Intra CPB Prediction

 Hctint = initial Hct on CPB

 EBV = estimated patient blood volume
 Hct = pre-operative Hct
 VolPrime =
Neo II = 300 - 500 mL
Infant = 500 – 700 mL
Ped = 700 – 1000 mL
Adult = > 1500 mL

c. Additional PRC

 PBV = patient’s blood volume

 ECCV = extracorporeal circuit volume
 CPBHct = desired Hct on CPB
 PtHct = patient’s pre CPB Hct
 HctDonorBlood = 0,7 for PRC / 0,4 for WB

or>> Vol Req PRC = 3,5 x BW x ∆Hb (Hb req – Hb patient)

d. Phlebotomy
Phlebotomy =  Hb x 5 x BB
Hb predicted x BV
or Phlebotomy = BV - Hb pre
Others Formula
Oxygenation

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Temperatur Cardia Index FiO2 Gas/ Blood Flow Ratio

37˚C 2.4 L .80 1:1

34˚C 2.2 L .70 .8:1

30˚C 2.0 L .65 .7:1

28˚C 1.8 L .60 .6:1

22˚C 1.6 L .50 .5:1

( JOHN E. BRODIE, 1997 )

Correction for :
- Kalium (KCL) : ∆ K+ x BB (mEq)
3
- BE (Bicnat) : BE x BB (mEq) atau BE x BB (mEq)
3 6
- Calsium (CaCl2) : 10 mg/Kg BB (mg)
- Glucose : 0,2 grm/kg or 2 mL/Kg dextrose 10%

-Natrium : Na+ infus – Na+ serum dimana cairan dewasa 60% BB dan anak 70% BB
Cairan tubuh total + 1

- Magnesium sulfat : 25-50 mg/kg/dosis i.v

- ACT (Heparin) : ½ - 1 mg/Kg BB (unit)

- Lasix : ¼ - 1 mg/Kg BB (mg)

- Xylocard : 1 mg/kg (bolus for VT/VF that not respond with DC shock)

- Cordarone : 150 mg (bolus for VT/VF that not respond with DC shock/xylocard )

- Largactil / Clorpomazil :
0 – 4 bulan : 3 mg/Kg BB
4 bulan – 6 tahun : 2 mg/Kg BB
> 6 tahun : 1 mg/Kg BB

Monitoring during CPB

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Blood Flow Rate : Adult >>> (Normothermia) = 2.2 – 2.4 L/min/m2

(Hypothermia) = 2.0 – 2.2 L/min/m2
Pediatric >> (Normothermia) = 2.8 – 3.0 L/min/m2
(Hypothermia) = 2.2 – 2.4 L/min/m2

Arterila Pressure : Adult >>> 60 – 80 mmHg

Pediatric >> 30 – 60 mmHg

Blood Gases Arterial Venous

pH 7,35 – 7,45 7,32 – 7,44
pCO2 9mmHg) 35 – 45 35 – 50
pO2 (mmHg) 180 – 300 40
Saturation (%) 95 – 100 65 – 75
HCO3 22 – 24 22 -24
BE -2 to 2 - 2 to 2

Hb (adult) 7 -8 gr/dL
(Pediatric) 9 – 10 gr/dL

Activated Clooting Time (ACT) = > 480 sec

Delivery Oxygen (DO2)

DO2 = Flow Pump x Arterial O2 Content(1.34 x Hb x Art Sat + 0.003 x pO2 Arterial) x 10
Normal O2 supply (DO2): 800 – 1000 ml/min

DO2 = CI x Arterial O2 Content(1.34 x Hb x Art Sat + 0.003 x pO2 Arterial) x 10

Critical DO2 Index :
35 oC 330 mL/min/m2
o
34 C 272 mL/min/m2
o
32 C 243 mL/min/m2

Oxygen Consumption (VO2)

VO2 = Flow (L/min) x (Arterial O2 content – Venous O2 content)

VO2 = Flow x [1.34 x Hb x (Art sat – ven sat) +0.003 x ( paO2 - pvO2)]
O2 consumption (VO2): 250 ml/min

Oxygen Consumption normal

Temp mL/min/m2
25 oC 29 – 34
30 oC 43 – 50
34 oC 69 – 78
37 oC 88 - 100
CHECKLIST PERSIAPAN WEANING CPB

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TABEL
BSA

BERDASARKAN
BERAT BADAN
(BAYI)

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FLOW FLOW
BB BSA BB BSA
2.0 2.4 2.0 2.4
2.00 0.163 0.33 0.39 3.00 0.214 0.43 0.51
2.05 0.166 0.33 0.40 3.05 0.217 0.43 0.52
2.10 0.169 0.34 0.41 3.10 0.219 0.44 0.53
2.15 0.172 0.34 0.41 3.15 0.222 0.44 0.53
2.20 0.174 0.35 0.42 3.20 0.224 0.45 0.54
2.25 0.177 0.35 0.42 3.25 0.226 0.45 0.54
2.30 0.179 0.36 0.43 3.30 0.228 0.46 0.55
2.35 0.182 0.36 0.44 3.35 0.231 0.46 0.55
2.40 0.184 0.37 0.44 3.40 0.233 0.47 0.56
2.45 0.187 0.37 0.45 3.45 0.235 0.47 0.56
2.50 0.190 0.38 0.46 3.50 0.237 0.47 0.57
2.55 0.192 0.38 0.46 3.55 0.239 0.48 0.57
2.60 0.195 0.39 0.47 3.60 0.241 0.48 0.58
2.65 0.197 0.39 0.47 3.65 0.244 0.49 0.59
2.70 0.200 0.40 0.48 3.70 0.246 0.49 0.59
2.75 0.202 0.40 0.48 3.75 0.249 0.50 0.60
2.80 0.205 0.41 0.49 3.80 0.251 0.50 0.60
2.85 0.207 0.41 0.50 3.85 0.253 0.51 0.61
2.90 0.210 0.42 0.50 3.90 0.255 0.51 0.61
2.95 0.212 0.42 0.51 3.95 0.257 0.51 0.62

FLOW
BB BSA
2.0 2.4
4.00 0.260 0.52 0.62
4.05 0.262 0.52 0.63
4.10 0.264 0.53 0.63
4.15 0.266 0.53 0.63
4.20 0.268 0.54 0.64
4.25 0.270 0.54 0.65
4.30 0.272 0.54 0.65
4.35 0.274 0.55 0.66
4.40 0.277 0.55 0.66
4.45 0.279 0.56 0.67
4.50 0.281 0.56 0.67
4.55 0.283 0.57 0.68
4.60 0.285 0.57 0.68
4.65 0.287 0.57 0.69
4.70 0.289 0.58 0.69
4.75 0.291 0.58 0.70
4.80 0.293 0.59 0.70
4.85 0.295 0.59 0.71
4.90 0.297 0.59 0.71
4.95 0.299 0.60 0.72
5.00 0.301 0.60 0.72

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TABEL BSA BERDASARKAN BERAT BADAN DAN TINGGI BADAN

TB BERAT BADAN (Kilogram)

(Cm) 40 41 42 43 44 45 46 47 48 49
140 1.24 1.25 1.27 1.28 1.29 1.30 1.32 1.33 1.34 1.35
141 1.25 1.26 1.27 1.29 1.30 1.31 1.32 1.33 1.35 1.36
142 1.25 1.27 1.28 1.29 1.30 1.32 1.33 1.34 1.35 1.37
143 1.26 1.27 1.29 1.30 1.31 1.32 1.34 1.35 1.36 1.37
144 1.27 1.28 1.29 1.30 1.32 1.33 1.34 1.36 1.37 1.38
145 1.27 1.29 1.30 1.31 1.32 1.34 1.35 1.36 1.37 1.39
146 1.28 1.29 1.30 1.32 1.33 1.34 1.36 1.37 1.38 1.39
147 1.28 1.30 1.31 1.32 1.34 1.35 1.36 1.38 1.39 1.40
148 1.29 1.30 1.32 1.33 1.34 1.36 1.37 1.38 1.39 1.41
149 1.30 1.31 1.33 1.34 1.35 1.36 1.38 1.39 1.40 1.41
150 1.30 1.32 1.33 1.34 1.36 1.37 1.38 1.40 1.41 1.42
151 1.31 1.33 1.34 1.35 1.36 1.38 1.39 1.40 1.42 1.43
152 1.32 1.33 1.34 1.36 1.37 1.38 1.40 1.41 1.42 1.43
153 1.32 1.34 1.35 1.36 1.38 1.39 1.40 1.42 1.43 1.44
154 1.33 1.34 1.36 1.37 1.38 1.40 1.41 1.42 1.44 1.45
155 1.33 1.35 1.36 1.38 1.39 1.40 1.42 1.43 1.44 1.45
156 1.34 1.36 1.37 1.38 1.40 1.41 1.42 1.44 1.45 1.46
157 1.35 1.36 1.38 1.39 1.40 1.42 1.43 1.44 1.46 1.47
158 1.35 1.37 1.38 1.40 1.41 1.42 1.44 1.45 1.46 1.48
159 1.36 1.37 1.39 1.40 1.42 1.43 1.44 1.46 1.47 1.48
160 1.37 1.38 1.39 1.41 1.42 1.44 1.45 1.46 1.48 1.49
161 1.37 1.39 1.40 1.41 1.43 1.44 1.46 1.47 1.48 1.50
162 1.38 1.39 1.41 1.42 1.44 1.45 1.46 1.48 1.49 1.50
163 1.38 1.40 1.41 1.43 1.44 1.46 1.47 1.48 1.50 1.51
164 1.39 1.41 1.42 1.43 1.45 1.46 1.48 1.49 1.50 1.51
165 1.40 1.41 1.43 1.44 1.45 1.47 1.48 1.50 1.51 1.52
166 1.40 1.42 1.43 1.45 1.46 1.47 1.49 1.50 1.52 1.53
167 1.41 1.42 1.44 1.45 1.47 1.48 1.50 1.51 1.52 1.54
168 1.41 1.43 1.44 1.46 1.47 1.49 1.50 1.52 1.53 1.54
169 1.42 1.44 1.45 1.47 1.48 1.49 1.51 1.52 1.54 1.55
170 1.43 1.44 1.46 1.47 1.49 1.50 1.51 1.53 1.54 1.56
171 1.43 1.45 1.46 1.48 1.49 1.51 1.52 1.53 1.55 1.56
172 1.44 1.45 1.47 1.48 1.50 1.51 1.53 1.54 1.56 1.57
173 1.45 1.46 1.48 1.49 1.51 1.52 1.53 1.55 1.56 1.58
174 1.45 1.47 1.48 1.50 1.51 1.53 1.54 1.55 1.57 1.58
175 1.46 1.47 1.49 1.50 1.52 1.53 1.55 1.56 1.57 1.59
176 1.46 1.48 1.49 1.51 1.52 1.54 1.55 1.57 1.58 1.60
177 1.47 1.49 1.50 1.52 1.53 1.54 1.56 1.57 1.59 1.60
178 1.48 1.49 1.51 1.52 1.54 1.55 1.57 1.58 1.59 1.61
179 1.48 1.50 1.51 1.53 1.54 1.56 1.57 1.59 1.60 1.61
180 1.49 1.50 1.52 1.53 1.55 1.56 1.58 1.59 1.61 1.62
181 1.49 1.51 1.52 1.54 1.56 1.57 1.58 1.60 1.61 1.63
182 1.50 1.52 1.53 1.55 1.56 1.58 1.59 1.61 1.62 1.63
183 1.51 1.52 1.54 1.55 1.57 1.58 1.60 1.61 1.63 1.64
184 1.51 1.53 1.54 1.56 1.57 1.59 1.60 1.62 1.63 1.65
185 1.52 1.53 1.55 1.56 1.58 1.59 1.61 1.62 1.64 1.65
186 1.52 1.54 1.55 1.57 1.59 1.60 1.62 1.63 1.65 1.66
187 1.53 1.54 1.56 1.58 1.59 1.61 1.62 1.64 1.65 1.67
188 1.54 1.55 1.57 1.58 1.60 1.61 1.63 1.64 1.66 1.67
189 1.54 1.56 1.57 1.59 1.60 1.62 1.63 1.65 1.66 1.68

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TABEL BSA BERDASARKAN BERAT BADAN DAN TINGGI BADAN

TB BERAT BADAN (Kilogram)

(Cm) 50 51 52 53 54 55 56 57 58 59
140 1.36 1.37 1.39 1.40 1.41 1.42 1.43 1.44 1.45 1.46
141 1.37 1.38 1.39 1.40 1.41 1.43 1.44 1.45 1.46 1.47
142 1.38 1.39 1.40 1.41 1.42 1.43 1.45 1.46 1.47 1.48
143 1.38 1.40 1.41 1.42 1.43 1.44 1.45 1.46 1.47 1.49
144 1.39 1.40 1.41 1.43 1.44 1.45 1.46 1.47 1.48 1.49
145 1.40 1.41 1.42 1.43 1.44 1.46 1.47 1.48 1.49 1.50
146 1.41 1.42 1.43 1.44 1.45 1.46 1.47 1.49 1.50 1.51
147 1.41 1.42 1.44 1.45 1.46 1.47 1.48 1.49 1.50 1.52
148 1.42 1.43 1.44 1.45 1.47 1.48 1.49 1.50 1.51 1.52
149 1.43 1.44 1.45 1.46 1.47 1.49 1.50 1.51 1.52 1.53
150 1.43 1.45 1.46 1.47 1.48 1.49 1.50 1.52 1.53 1.54
151 1.44 1.45 1.46 1.48 1.49 1.50 1.51 1.52 1.53 1.54
152 1.45 1.46 1.47 1.48 1.49 1.51 1.52 1.53 1.54 1.55
153 1.45 1.47 1.48 1.49 1.50 1.51 1.53 1.54 1.55 1.56
154 1.46 1.47 1.49 1.50 1.51 1.52 1.53 1.54 1.56 1.57
155 1.47 1.48 1.49 1.50 1.51 1.53 1.54 1.55 1.56 1.57
156 1.47 1.49 1.50 1.51 1.52 1.54 1.55 1.56 1.57 1.58
157 1.48 1.49 1.51 1.52 1.53 1.54 1.55 1.57 1.58 1.59
158 1.49 1.50 1.51 1.53 1.54 1.55 1.56 1.57 1.58 1.60
159 1.49 1.51 1.52 1.53 1.54 1.56 1.57 1.58 1.59 1.60
160 1.50 1.51 1.53 1.54 1.55 1.56 1.58 1.59 1.60 1.61
161 1.51 1.52 1.53 1.55 1.56 1.57 1.58 1.59 1.61 1.62
162 1.52 1.53 1.54 1.55 1.57 1.58 1.59 1.60 1.61 1.63
163 1.52 1.53 1.55 1.56 1.57 1.58 1.60 1.61 1.62 1.63
164 1.53 1.54 1.55 1.57 1.58 1.59 1.60 1.61 1.63 1.64
165 1.54 1.55 1.56 1.57 1.59 1.60 1.61 1.62 1.64 1.65
166 1.54 1.56 1.57 1.58 1.59 1.61 1.62 1.63 1.64 1.65
167 1.55 1.56 1.58 1.58 1.60 1.61 1.63 1.64 1.65 1.66
168 1.56 1.57 1.58 1.59 1.61 1.62 1.63 1.64 1.66 1.67
169 1.56 1.58 1.59 1.60 1.61 1.63 1.64 1.65 1.66 1.68
170 1.57 1.58 1.60 1.61 1.62 1.63 1.64 1.66 1.67 1.68
171 1.58 1.59 1.60 1.62 1.63 1.64 1.65 1.67 1.68 1.69
172 1.59 1.60 1.61 1.62 1.64 1.65 1.66 1.67 1.69 1.70
173 1.59 1.60 1.61 1.63 1.64 1.65 1.67 1.68 1.69 1.70
174 1.60 1.61 1.62 1.63 1.65 1.66 1.67 1.69 1.70 1.71
175 1.60 1.62 1.63 1.64 1.66 1.67 1.68 1.69 1.71 1.72
176 1.61 1.62 1.64 1.65 1.66 1.68 1.69 1.70 1.71 1.73
177 1.62 1.63 1.64 1.66 1.67 1.68 1.70 1.71 1.72 1.73
178 1.62 1.64 1.65 1.66 1.68 1.69 1.70 1.72 1.73 1.74
179 1.63 1.64 1.66 1.67 1.68 1.70 1.71 1.72 1.73 1.75
180 1.64 1.65 1.66 1.68 1.69 1.70 1.71 1.73 1.74 1.75
181 1.64 1.66 1.67 1.68 1.70 1.71 1.72 1.74 1.75 1.76
182 1.65 1.66 1.68 1.69 1.70 1.72 1.73 1.74 1.76 1.77
183 1.66 1.67 1.68 1.70 1.71 1.72 1.74 1.75 1.76 1.78
184 1.66 1.68 1.69 1.70 1.72 1.73 1.74 1.76 1.77 1.78
185 1.67 1.68 1.70 1.71 1.72 1.74 1.75 1.76 1.78 1.79
186 1.67 1.69 1.70 1.72 1.73 1.74 1.76 1.77 1.78 1.80
187 1.68 1.69 1.71 1.72 1.74 1.75 1.76 1.78 1.79 1.80
188 1.69 1.70 1.72 1.73 1.74 1.76 1.77 1.78 1.80 1.81
189 1.69 1.71 1.72 1.74 1.75 1.76 1.78 1.79 1.80 1.82

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TABEL BSA BERDASARKAN BERAT BADAN DAN TINGGI BADAN

TB BERAT BADAN (Kilogram)

(Cm) 60 61 62 63 64 65 66 67 68 69
140 1.47 1.48 1.49 1.50 1.51 1.51 1.53 1.54 1.55 1.56
141 1.48 1.49 1.50 1.51 1.52 1.52 1.54 1.55 1.56 1.57
142 1.49 1.50 1.51 1.52 1.53 1.53 1.55 1.56 1.57 1.58
143 1.50 1.51 1.52 1.53 1.54 1.54 1.56 1.57 1.58 1.59
144 1.50 1.51 1.52 1.53 1.55 1.55 1.57 1.58 1.59 1.60
145 1.51 1.52 1.53 1.54 1.55 1.55 1.57 1.58 1.59 1.60
146 1.52 1.53 1.54 1.55 1.56 1.56 1.58 1.59 1.60 1.61
147 1.53 1.54 1.55 1.56 1.57 1.57 1.59 1.60 1.61 1.62
148 1.53 1.54 1.55 1.57 1.58 1.58 1.60 1.61 1.62 1.63
149 1.54 1.55 1.56 1.57 1.58 1.58 1.60 1.61 1.63 1.63
150 1.55 1.56 1.57 1.58 1.59 1.59 1.61 1.62 1.63 1.64
151 1.56 1.57 1.58 1.59 1.60 1.60 1.62 1.63 1.64 1.65
152 1.56 1.57 1.59 1.60 1.61 1.61 1.63 1.64 1.65 1.66
153 1.57 1.58 1.59 1.60 1.61 1.61 1.64 1.65 1.66 1.67
154 1.58 1.59 1.60 1.61 1.62 1.62 1.64 1.65 1.66 1.67
155 1.59 1.60 1.61 1.62 1.63 1.63 1.65 1.66 1.67 1.68
156 1.59 1.60 1.61 1.63 1.64 1.64 1.66 1.67 1.68 1.69
157 1.60 1.61 1.62 1.63 1.65 1.65 1.67 1.68 1.69 1.70
158 1.61 1.62 1.63 1.64 1.65 1.65 1.67 1.69 1.70 1.71
159 1.62 1.63 1.64 1.65 1.66 1.66 1.68 1.69 1.70 1.71
160 1.62 1.63 1.65 1.66 1.67 1.67 1.69 1.70 1.71 1.72
161 1.63 1.64 1.65 1.66 1.68 1.68 1.70 1.71 1.72 1.73
162 1.64 1.65 1.66 1.67 1.68 1.68 1.70 1.72 1.73 1.74
163 1.64 1.66 1.67 1.68 1.69 1.69 1.71 1.72 1.73 1.75
164 1.65 1.66 1.68 1.69 1.70 1.70 1.72 1.73 1.74 1.75
165 1.66 1.67 1.68 1.69 1.71 1.71 1.73 1.74 1.75 1.76
166 1.67 1.68 1.69 1.70 1.71 1.71 1.74 1.75 1.76 1.77
167 1.67 1.69 1.70 1.71 1.72 1.72 1.74 1.75 1.77 1.78
168 1.68 1.69 1.70 1.71 1.73 1.73 1.75 1.76 1.77 1.78
169 1.69 1.70 1.71 1.72 1.74 1.74 1.76 1.77 1.78 1.79
170 1.70 1.71 1.72 1.73 1.74 1.74 1.77 1.78 1.79 1.80
171 1.70 1.71 1.73 1.74 1.75 1.75 1.77 1.78 1.80 1.81
172 1.71 1.72 1.73 1.75 1.76 1.76 1.78 1.79 1.80 1.81
173 1.72 1.73 1.74 1.75 1.76 1.76 1.79 1.80 1.81 1.82
174 1.72 1.74 1.75 1.76 1.77 1.77 1.80 1.81 1.82 1.83
175 1.73 1.74 1.76 1.77 1.78 1.78 1.80 1.81 1.83 1.84
176 1.74 1.75 1.76 1.78 1.79 1.79 1.81 1.82 1.83 1.85
177 1.75 1.76 1.77 1.78 1.79 1.79 1.82 1.83 1.84 1.85
178 1.75 1.77 1.78 1.79 1.80 1.80 1.83 1.84 1.85 1.86
179 1.76 1.77 1.78 1.80 1.81 1.81 1.83 1.84 1.86 1.87
180 1.77 1.78 1.79 1.80 1.82 1.82 1.84 1.85 1.86 1.88
181 1.77 1.79 1.80 1.81 1.82 1.82 1.85 1.86 1.87 1.88
182 1.78 1.79 1.81 1.82 1.83 1.83 1.85 1.87 1.88 1.89
183 1.79 1.80 1.81 1.83 1.84 1.84 1.86 1.87 1.89 1.90
184 1.80 1.81 1.82 1.83 1.85 1.85 1.87 1.88 1.89 1.91
185 1.80 1.81 1.83 1.84 1.85 1.85 1.88 1.89 1.90 1.91
186 1.81 1.82 1.84 1.85 1.86 1.86 1.88 1.90 1.91 1.92
187 1.82 1.83 1.84 1.85 1.87 1.87 1.89 1.90 1.92 1.93
188 1.82 1.84 1.85 1.86 1.87 1.87 1.90 1.91 1.92 1.93
189 1.83 1.84 1.86 1.87 1.88 1.88 1.91 1.92 1.93 1.94

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TABEL BSA BERDASARKAN BERAT BADAN DAN TINGGI BADAN

TB BERAT BADAN (Kilogram)

(Cm) 70 71 72 73 74 75 76 77 78 79
140 1.57 1.58 1.59 1.60 1.61 1.62 1.63 1.64 1.65 1.66
141 1.58 1.59 1.60 1.61 1.62 1.63 1.64 1.65 1.66 1.66
142 1.59 1.60 1.61 1.62 1.63 1.64 1.65 1.65 1.66 1.67
143 1.60 1.61 1.62 1.63 1.64 1.64 1.65 1.66 1.67 1.68
144 1.61 1.61 1.62 1.63 1.64 1.65 1.66 1.67 1.68 1.69
145 1.61 1.62 1.63 1.64 1.65 1.66 1.67 1.68 1.69 1.70
146 1.62 1.63 1.64 1.65 1.66 1.67 1.68 1.69 1.70 1.71
147 1.63 1.64 1.65 1.66 1.67 1.68 1.69 1.70 1.71 1.72
148 1.64 1.65 1.66 1.67 1.68 1.69 1.70 1.70 1.71 1.72
149 1.65 1.66 1.67 1.67 1.68 1.69 1.70 1.71 1.72 1.73
150 1.65 1.66 1.67 1.68 1.69 1.70 1.71 1.72 1.73 1.74
151 1.66 1.67 1.68 1.69 1.70 1.71 1.72 1.73 1.74 1.75
152 1.67 1.68 1.69 1.70 1.71 1.72 1.73 1.74 1.75 1.76
153 1.68 1.69 1.70 1.71 1.72 1.73 1.74 1.75 1.76 1.77
154 1.69 1.70 1.71 1.71 1.73 1.74 1.74 1.75 1.76 1.77
155 1.69 1.70 1.71 1.72 1.73 1.74 1.75 1.76 1.77 1.78
156 1.70 1.71 1.72 1.73 1.74 1.75 1.76 1.77 1.78 1.79
157 1.71 1.72 1.73 1.74 1.75 1.76 1.77 1.78 1.79 1.80
158 1.72 1.73 1.74 1.75 1.76 1.77 1.78 1.79 1.80 1.81
159 1.72 1.74 1.75 1.76 1.77 1.78 1.79 1.80 1.81 1.82
160 1.73 1.74 1.75 1.76 1.77 1.78 1.79 1.80 1.81 1.82
161 1.74 1.75 1.76 1.77 1.78 1.79 1.80 1.81 1.82 1.83
162 1.75 1.76 1.77 1.78 1.79 1.80 1.81 1.82 1.83 1.84
163 1.76 1.77 1.78 1.79 1.80 1.81 1.82 1.83 1.84 1.85
164 1.76 1.77 1.78 1.80 1.81 1.82 1.83 1.84 1.85 1.86
165 1.77 1.78 1.79 1.80 1.81 1.82 1.83 1.84 1.85 1.86
166 1.78 1.79 1.80 1.81 1.82 1.83 1.84 1.85 1.86 1.87
167 1.79 1.80 1.81 1.82 1.83 1.84 1.85 1.86 1.87 1.88
168 1.79 1.81 1.82 1.83 1.84 1.85 1.86 1.87 1.88 1.89
169 1.80 1.81 1.82 1.83 1.85 1.86 1.87 1.88 1.89 1.90
170 1.81 1.82 1.83 1.84 1.85 1.86 1.87 1.88 1.90 1.91
171 1.82 1.83 1.84 1.85 1.86 1.87 1.88 1.89 1.90 1.91
172 1.83 1.84 1.85 1.86 1.87 1.88 1.89 1.90 1.91 1.92
173 1.83 1.84 1.85 1.87 1.88 1.89 1.90 1.91 1.92 1.93
174 1.84 1.85 1.86 1.87 1.88 1.90 1.91 1.92 1.93 1.94
175 1.85 1.86 1.87 1.88 1.89 1.90 1.91 1.93 1.94 1.95
176 1.86 1.87 1.88 1.89 1.90 1.91 1.92 1.93 1.94 1.95
177 1.86 1.88 1.89 1.90 1.91 1.92 1.93 1.94 1.95 1.96
178 1.87 1.88 1.89 1.91 1.92 1.93 1.94 1.95 1.96 1.97
179 1.88 1.89 1.90 1.91 1.92 1.94 1.95 1.96 1.97 1.98
180 1.89 1.90 1.91 1.92 1.93 1.94 1.95 1.96 1.98 1.99
181 1.89 1.91 1.92 1.93 1.94 1.95 1.96 1.97 1.98 1.99
182 1.90 1.91 1.93 1.94 1.95 1.96 1.97 1.98 1.99 2.00
183 1.91 1.92 1.93 1.94 1.96 1.97 1.98 1.99 2.00 2.01
184 1.92 1.93 1.94 1.95 1.96 1.97 1.99 2.00 2.01 2.02
185 1.92 1.94 1.95 1.96 1.97 1.98 1.99 2.00 2.02 2.03
186 1.93 1.94 1.96 1.97 1.98 1.99 2.00 2.01 2.02 2.03
187 1.94 1.95 1.96 1.97 1.99 2.00 2.01 2.02 2.03 2.04
188 1.95 1.96 1.97 1.98 1.99 2.01 2.02 2.03 2.04 2.05
189 1.95 1.97 1.98 1.99 2.00 2.01 2.02 2.04 2.05 2.06

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TABEL BSA BERDASARKAN BERAT BADAN DAN TINGGI BADAN

TB BERAT BADAN (Kilogram)

(Cm) 80 81 82 83 84 85 86 87 88 89
140 1.66 1.67 1.68 1.69 1.70 1.71 1.71 1.72 1.73 1.74
141 1.67 1.68 1.69 1.70 1.71 1.72 1.72 1.73 1.74 1.75
142 1.68 1.69 1.70 1.71 1.72 1.73 1.73 1.74 1.75 1.76
143 1.69 1.70 1.71 1.72 1.73 1.73 1.74 1.75 1.76 1.77
144 1.70 1.71 1.72 1.73 1.73 1.74 1.75 1.76 1.77 1.78
145 1.71 1.72 1.73 1.73 1.74 1.75 1.76 1.77 1.78 1.79
146 1.72 1.72 1.73 1.74 1.75 1.76 1.77 1.78 1.79 1.80
147 1.72 1.73 1.74 1.75 1.76 1.77 1.78 1.79 1.80 1.80
148 1.73 1.74 1.75 1.76 1.77 1.78 1.79 1.80 1.80 1.81
149 1.74 1.75 1.76 1.77 1.78 1.79 1.80 1.80 1.81 1.82
150 1.75 1.76 1.77 1.78 1.79 1.80 1.80 1.81 1.82 1.83
151 1.76 1.77 1.78 1.79 1.80 1.80 1.81 1.82 1.83 1.84
152 1.77 1.78 1.79 1.79 1.80 1.81 1.82 1.83 1.84 1.85
153 1.78 1.78 1.79 1.80 1.81 1.82 1.83 1.84 1.85 1.86
154 1.78 1.79 1.80 1.81 1.82 1.83 1.84 1.85 1.86 1.87
155 1.79 1.80 1.81 1.82 1.83 1.84 1.85 1.86 1.87 1.87
156 1.80 1.81 1.82 1.83 1.84 1.85 1.86 1.87 1.87 1.88
157 1.81 1.82 1.83 1.84 1.85 1.86 1.86 1.87 1.88 1.89
158 1.82 1.83 1.84 1.85 1.85 1.86 1.87 1.88 1.89 1.90
159 1.83 1.83 1.84 1.85 1.86 1.87 1.88 1.89 1.90 1.91
160 1.83 1.84 1.85 1.86 1.87 1.88 1.89 1.90 1.91 1.92
161 1.84 1.85 1.86 1.87 1.88 1.89 1.90 1.91 1.92 1.93
162 1.85 1.86 1.87 1.88 1.89 1.90 1.91 1.92 1.93 1.94
163 1.86 1.87 1.88 1.89 1.90 1.91 1.92 1.93 1.94 1.94
164 1.87 1.88 1.89 1.90 1.91 1.92 1.92 1.93 1.94 1.95
165 1.87 1.88 1.89 1.90 1.91 1.92 1.93 1.94 1.95 1.96
166 1.88 1.89 1.90 1.91 1.92 1.93 1.94 1.95 1.96 1.97
167 1.89 1.90 1.91 1.92 1.93 1.94 1.95 1.96 1.97 1.98
168 1.90 1.91 1.92 1.93 1.94 1.95 1.96 1.97 1.98 1.99
169 1.91 1.92 1.93 1.94 1.95 1.96 1.97 1.98 1.99 2.00
170 1.92 1.93 1.94 1.95 1.96 1.97 1.98 1.99 2.00 2.00
171 1.92 1.93 1.94 1.95 1.96 1.97 1.98 1.99 2.00 2.01
172 1.93 1.94 1.95 1.96 1.97 1.98 1.99 2.00 2.01 2.02
173 1.94 1.95 1.96 1.97 1.98 1.99 2.00 2.01 2.02 2.03
174 1.95 1.96 1.97 1.98 1.99 2.00 2.01 2.02 2.03 2.04
175 1.96 1.97 1.98 1.99 2.00 2.01 2.02 2.03 2.04 2.05
176 1.96 1.97 1.99 2.00 2.01 2.02 2.03 2.04 2.05 2.06
177 1.97 1.98 1.99 2.00 2.01 2.03 2.03 2.04 2.05 2.06
178 1.98 1.99 2.00 2.01 2.02 2.03 2.04 2.05 2.06 2.07
179 1.99 2.00 2.01 2.02 2.03 2.04 2.05 2.06 2.07 2.08
180 2.00 2.01 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09
181 2.00 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09 2.10
182 2.01 2.02 2.03 2.04 2.06 2.07 2.08 2.09 2.10 2.11
183 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09 2.10 2.11
184 2.03 2.04 2.05 2.06 2.07 2.08 2.09 2.10 2.11 2.12
185 2.04 2.05 2.06 2.07 2.08 2.09 2.10 2.11 2.12 2.13
186 2.04 2.06 2.07 2.08 2.09 2.10 2.11 2.12 2.13 2.14
187 2.05 2.06 2.07 2.09 2.10 2.11 2.12 2.13 2.14 2.15
188 2.06 2.07 2.08 2.09 2.10 2.11 2.13 2.14 2.15 2.16
189 2.07 2.08 2.09 2.10 2.11 2.12 2.13 2.14 2.15 2.16

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TABEL BSA BERDASARKAN BERAT BADAN DAN TINGGI BADAN

TB BERAT BADAN (Kilogram)

(Cm) 90 91 92 93 94 95 96 97 98 99
140 1.75 1.76 1.77 1.77 1.78 1.79 1.80 1.81 1.81 1.82
141 1.76 1.77 1.78 1.78 1.79 1.80 1.81 1.82 1.82 1.83
142 1.77 1.78 1.78 1.79 1.80 1.81 1.82 1.83 1.83 1.84
143 1.78 1.79 1.79 1.80 1.81 1.82 1.83 1.83 1.84 1.85
144 1.79 1.79 1.80 1.81 1.82 1.83 1.84 1.84 1.85 1.86
145 1.79 1.80 1.81 1.82 1.83 1.84 1.84 1.85 1.86 1.87
146 1.80 1.81 1.82 1.83 1.84 1.85 1.85 1.86 1.87 1.88
147 1.81 1.82 1.83 1.84 1.85 1.85 1.86 1.87 1.88 1.89
148 1.82 1.83 1.84 1.85 1.86 1.86 1.87 1.88 1.89 1.90
149 1.83 1.84 1.85 1.86 1.86 1.87 1.88 1.89 1.90 1.91
150 1.84 1.85 1.86 1.87 1.87 1.88 1.89 1.90 1.91 1.92
151 1.85 1.86 1.87 1.87 1.88 1.89 1.90 1.91 1.92 1.92
152 1.86 1.87 1.87 1.88 1.89 1.90 1.91 1.92 1.93 1.93
153 1.87 1.88 1.88 1.89 1.90 1.91 1.92 1.93 1.94 1.94
154 1.87 1.88 1.89 1.90 1.91 1.92 1.93 1.94 1.94 1.95
155 1.88 1.89 1.90 1.91 1.92 1.93 1.94 1.94 1.95 1.96
156 1.89 1.90 1.91 1.92 1.93 1.94 1.95 1.95 1.96 1.97
157 1.90 1.91 1.92 1.93 1.94 1.95 1.95 1.96 1.97 1.98
158 1.91 1.92 1.93 1.94 1.95 1.95 1.96 1.97 1.98 1.99
159 1.92 1.93 1.94 1.95 1.95 1.96 1.97 1.98 1.99 2.00
160 1.93 1.94 1.95 1.95 1.96 1.97 1.98 1.99 2.00 2.01
161 1.94 1.95 1.95 1.96 1.97 1.98 1.99 2.00 2.01 2.02
162 1.95 1.95 1.96 1.97 1.98 1.99 2.00 2.01 2.02 2.03
163 1.95 1.96 1.97 1.98 1.99 2.00 2.01 2.02 2.03 2.03
164 1.96 1.97 1.98 1.99 2.00 2.01 2.02 2.03 2.03 2.04
165 1.97 1.98 1.99 2.00 2.01 2.02 2.02 2.03 2.04 2.05
166 1.98 1.99 2.00 2.01 2.02 2.02 2.03 2.04 2.05 2.06
167 1.99 2.00 2.01 2.02 2.03 2.03 2.04 2.05 2.06 2.07
168 2.00 2.01 2.02 2.03 2.03 2.04 2.05 2.06 2.07 2.08
169 2.01 2.02 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09
170 2.01 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09 2.10
171 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09 2.10 2.11
172 2.03 2.04 2.05 2.06 2.07 2.08 2.09 2.10 2.11 2.12
173 2.04 2.05 2.06 2.07 2.08 2.09 2.10 2.11 2.12 2.12
174 2.05 2.06 2.07 2.08 2.09 2.10 2.11 2.11 2.12 2.13
175 2.06 2.07 2.08 2.09 2.10 2.11 2.11 2.12 2.13 2.14
176 2.07 2.08 2.08 2.09 2.10 2.12 2.12 2.13 2.14 2.15
177 2.07 2.08 2.09 2.10 2.11 2.13 2.13 2.14 2.15 2.16
178 2.08 2.09 2.10 2.11 2.12 2.14 2.14 2.15 2.16 2.17
179 2.09 2.10 2.11 2.12 2.13 2.15 2.15 2.16 2.17 2.18
180 2.10 2.11 2.12 2.13 2.14 2.16 2.16 2.17 2.18 2.19
181 2.11 2.12 2.13 2.14 2.15 2.17 2.17 2.18 2.18 2.20
182 2.12 2.13 2.14 2.15 2.16 2.18 2.18 2.18 2.19 2.20
183 2.12 2.13 2.14 2.15 2.16 2.18 2.18 2.19 2.20 2.21
184 2.13 2.14 2.15 2.16 2.17 2.19 2.19 2.20 2.21 2.22
185 2.14 2.15 2.16 2.17 2.18 2.20 2.20 2.21 2.22 2.23
186 2.15 2.16 2.17 2.18 2.19 2.21 2.21 2.22 2.23 2.24
187 2.16 2.17 2.18 2.19 2.20 2.22 2.22 2.23 2.24 2.25
188 2.17 2.18 2.19 2.20 2.21 2.23 2.23 2.24 2.25 2.26
189 2.17 2.19 2.20 2.21 2.22 2.24 2.24 2.25 2.26 2.26

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MINIMUM ACCEPTABLE PULMONARY VALVE RING

DIAMETER (Employed by KIRKLIN in (1975-1976)
WEIGHD MINIMUM RING SIZE AREA (mm2) HALF SIZE
DIAMETER (mm)
4 13
5 20
3 6 28 4
4 7 39 5
5 7.5 45 5.5
6 8 50 6
7 9 64 6.5
8 9.5 72 6.5
9 10 79 7
10 11 85 7.5
12 12 113 8.5
14 13 133 9
16 13.5 144 9.5
18 14 154 10
20 15 177 11
25 17 227 12
30 18.5 270 13
35 20 314 14
40 20 314 14

MEAN NORMAL VALVE RING

BSA MITRAL TRICUSPID AORTIK PULMONARY BSA(M2)
(M2)
0.25 11.2 13.4 7.2 8.4 0.25
0.30 12.6 14.9 8.1 9.3 0.30
0.35 13.6 16.2 8.9 10.1 0.35
0.40 14.4 17.3 9.5 10.7 0.40
0.45 15.2 18.2 10.1 11.3 0.45
0.50 15.8 19.2 10.7 11.9 0.50
0.60 16.9 20.7 11.5 12.8 0.60
0.70 17.9 21.9 12.3 13.5 0.70
0.80 18.8 23.0 13.0 14.2 0.80
0.90 19.7 24.0 13.4 14.8 0.90
1.0 20.2 24.9 14.0 15.3 1.0
1.2 21.4 26.2 14.8 16.2 1.2
1.4 22.3 27.7 15.5 17.0 1.4
1.6 23.1 28.9 16.1 17.6 1.6
1.8 23.8 29.1 16.5 18.2 1.8
2.0 24.2 30.0 17.2 18.0 2.0

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PedPerf Harkit Doc