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Catheter hemodynamic assessment of the univentricular circulation


Department of Pediatric Cardiology, Birmingham Children's Hospital, Birmingham, United Kingdom

Correspondence Address:
Oliver Stumper
Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_160_16

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Year : 2017  |  Volume : 10  |  Issue : 2  |  Page : 167-174

 

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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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Department of Pediatric Cardiology, Birmingham Children's Hospital, Birmingham, United Kingdom

Correspondence Address:
Oliver Stumper
Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH
United Kingdom
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_160_16

Rights and Permissions

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.






[FULL TEXT] [PDF]*


        
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