Annals of Pediatric Cardiology (Jan 2017)

Catheter hemodynamic assessment of the univentricular circulation

  • Oliver Stumper,
  • Gemma Penford

DOI
https://doi.org/10.4103/apc.apc_160_16
Journal volume & issue
Vol. 10, no. 2
pp. 167 – 174

Abstract

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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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