Catheter hemodynamic assessment of the univentricular circulation

Children with very complex congenital heart disease not amenable to biventricular repair are increasingly being considered for a palliative univentricular care pathway. This involves a staged surgical approach culminating in the Fontan circulation with passive pulmonary blood flow and added resistan...

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Detalles Bibliográficos
Autores principales: Stumper, Oliver, Penford, Gemma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Invited Review Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5431029/
https://www.ncbi.nlm.nih.gov/pubmed/28566825
http://dx.doi.org/10.4103/apc.APC_160_16
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author Stumper, Oliver
Penford, Gemma
author_facet Stumper, Oliver
Penford, Gemma
author_sort Stumper, Oliver
collection PubMed
description Children with very complex congenital heart disease not amenable to biventricular repair are increasingly being considered for a palliative univentricular care pathway. This involves a staged surgical approach culminating in the Fontan circulation with passive pulmonary blood flow and added resistances. The catheter based hemodynamic assessment at all three stages of this palliation is described in detail. Frequent pitfalls, inherent limitations and potential errors are discussed and clinical examples are illustrated.
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spelling pubmed-54310292017-05-31 Catheter hemodynamic assessment of the univentricular circulation Stumper, Oliver Penford, Gemma Ann Pediatr Cardiol Invited Review Article Children with very complex congenital heart disease not amenable to biventricular repair are increasingly being considered for a palliative univentricular care pathway. This involves a staged surgical approach culminating in the Fontan circulation with passive pulmonary blood flow and added resistances. The catheter based hemodynamic assessment at all three stages of this palliation is described in detail. Frequent pitfalls, inherent limitations and potential errors are discussed and clinical examples are illustrated. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5431029/ /pubmed/28566825 http://dx.doi.org/10.4103/apc.APC_160_16 Text en Copyright: © 2017 Annals of Pediatric Cardiology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Invited Review Article
Stumper, Oliver
Penford, Gemma
Catheter hemodynamic assessment of the univentricular circulation
title Catheter hemodynamic assessment of the univentricular circulation
title_full Catheter hemodynamic assessment of the univentricular circulation
title_fullStr Catheter hemodynamic assessment of the univentricular circulation
title_full_unstemmed Catheter hemodynamic assessment of the univentricular circulation
title_short Catheter hemodynamic assessment of the univentricular circulation
title_sort catheter hemodynamic assessment of the univentricular circulation
topic Invited Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5431029/
https://www.ncbi.nlm.nih.gov/pubmed/28566825
http://dx.doi.org/10.4103/apc.APC_160_16
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