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Assessment of operability for common arterial trunk without cardiac catheterisation

Published online by Cambridge University Press:  03 May 2005

Amir-Reza Hosseinpour  and
Elliot A. Shinebourne
Amir-Reza Hosseinpour
Affiliation:
Department of Surgery, Royal Brompton Hospital, London, United Kingdom
Elliot A. Shinebourne
Affiliation:
Department of Paediatric Cardiology, Royal Brompton Hospital, London, United Kingdom
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Abstract

Pulmonary vascular disease is a risk factor for the surgical management of common arterial trunk. Surgical repair, therefore, is usually performed in early infancy, before irreversible changes can occur in the epulmonary vasculature. Because of this, there has been an increasing tendency to dispense with cardiac catheterisation as a means of assessing pulmonary vascular disease. Cardiac catheterisation, nonetheless, is still performed when there is a risk of pulmonary vascular disease, such as in older children. There are no clear guidelines, however, as to who should be catheterised. We have developed a simple screening test to help make this decision.

Keywords

Truncus arteriosuspulmonary vascular diseasepulmonary vascular resistance
Type
Original Article
Information
Cardiology in the Young , Volume 15 , Issue 3 , June 2005 , pp. 241 - 244
Copyright
© 2005 Cambridge University Press

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