Shine Kumar, Raman Krishna Kumar
Amrita Hospital and Amrita Vishwa Vidyapeetham University.
India
Indian Journal of Thoracic and Cardiovascular Surgery
Ind J Thorac Cardiovasc Surg 2025; 41: 718-729
DOI: 10.1007/s12055-024-01786-7
Abstract
Left to right shunts comprise a specific group of congenital heart disease, when identified and treated on time result in excellent outcomes. However, a proportion of these defects do not receive the timely intervention and often present late posing the question of safe operability especially in low- and middle-income countries. The lack of ample evidence and standardised guidelines often poses an enigma to the treating physician preventing appropriate and patient-friendly decision-making. Moreover, no single test or clinical feature can accurately define operability in this subset of patients. In this review, we aim to address this issue in a comprehensive and holistic manner and formulate a simplified guideline based on current evidence to help the physician to arrive at an appropriate decision.
Category
Class I. Pulmonary Hypertension Associated with Congenital Cardiovascular Disease
Review Articles Concerning Pulmonary Vascular Disease
Age Focus: Pediatric Pulmonary Vascular Disease or Adult Pulmonary Vascular Disease
Fresh or Filed Publication: Fresh (PHresh). Less than 1-2 years since publication
Article Access
Free PDF File or Full Text Article Available Through PubMed or DOI: No (available after June 1, 2026)