Catheter hemodynamic assessment of the univentricular circulation

Oliver Stumper, Gemma PenfordAnnals of Pediatric Cardiology 2017 10(2):167-174 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.
Source: Annals of Pediatric Cardiology - Category: Cardiology Authors: Source Type: research