Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3015365 | Revista Española de Cardiología | 2010 | 15 Pages |
Abstract
Early closure of the cardiac shunt remains the best way of preventing pulmonary vascular lesions. However, it is still not clear which preoperative parameters predict safe and successful repair, though hemodynamic evaluation is still routinely used for assessment. Postoperative pulmonary hypertension, both in the immediate period after surgical repair and during long-term follow-up, remains a real therapeutic challenge. The clinical situation of a single ventricle with Fontan circulation also presents difficulties when pulmonary vascular lesions are present. This article reviews pulmonary hypertension associated with congenital shunts and discusses a number of the specific problems encountered.
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Authors
Maurice Beghetti, Cecile Tissot,