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Estimating intracardiac and extracardiac shunting in the setting of complex congenital heart disease


Department of Pediatric Critical Care, Texas Children’s Hospital and Baylor College of Medicine, Houston, Texas, USA

Correspondence Address:
Lara S Shekerdemian
Chief, Pediatric Critical Care, Texas Children’s Hospital/Baylor College of Medicine, 6621 Fannin ST, WT6-006, Houston, TX 77030
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.115259

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Year : 2013  |  Volume : 6  |  Issue : 2  |  Page : 145-151

 

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Complex congenital heart disease (CHD) is associated with significant morbidity worldwide. Managing hypoxemia in these populations can be difficult, particularly in the setting of cyanotic CHD. However, the presence of additional extracardiac shunts secondary to acute respiratory disease can be very challenging to manage. Before understanding how to deal with hypoxemia in patients with dual shunts, one needs to understand the physiology and diagnosis related to the individual shunts and apply this knowledge to the patient as a whole.






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Department of Pediatric Critical Care, Texas Children’s Hospital and Baylor College of Medicine, Houston, Texas, USA

Correspondence Address:
Lara S Shekerdemian
Chief, Pediatric Critical Care, Texas Children’s Hospital/Baylor College of Medicine, 6621 Fannin ST, WT6-006, Houston, TX 77030
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.115259

Rights and Permissions

Complex congenital heart disease (CHD) is associated with significant morbidity worldwide. Managing hypoxemia in these populations can be difficult, particularly in the setting of cyanotic CHD. However, the presence of additional extracardiac shunts secondary to acute respiratory disease can be very challenging to manage. Before understanding how to deal with hypoxemia in patients with dual shunts, one needs to understand the physiology and diagnosis related to the individual shunts and apply this knowledge to the patient as a whole.






[FULL TEXT] [PDF]*


        
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