Kothandam Sivakumar
Madras Medical Mission.
India
Annals of Pediatric Cardiology
Ann Pediatr Cardiol 2024; 17: 448-454
DOI: 10.4103/apc.apc_211_24
Abstract
This hemodynamic round section deals with severe pulmonary arterial hypertension with suprasystemic pulmonary artery pressures in a patient who underwent delayed surgical correction of the double-outlet right ventricle with a large subaortic ventricular septal defect (VSD). Recreation of a moderate-sized VSD by electrocautery-aided fenestration of the surgical patch resulted in effective right ventricular decompression. The changes in the hemodynamics are illustrated in the pressure traces and Doppler echocardiographic images. The changes in cardiac events on the right and left heart due to the right bundle branch block are also illustrated in the manuscript.
Category
Class I. Pulmonary Hypertension Associated with Congenital Cardiovascular Disease
Surgical and Catheter-mediated Interventions for Pulmonary Vascular Disease
Age Focus: 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: Yes