Gurumurthy Hiremath, Athar M. Qureshi, Jeffery Meadows, Varun Aggarwal
University of Minnesota Masonic Children’s Hospital. Texas Children’s Hospital and Baylor College of Medicine. UCSF Benioff Children’s Hospital and the University of California, San Francisco.
United States
Trends in Cardiovascular Medicine
Trends Cardiovasc Med 2021; 31: 179-184
DOI: 10.1016/j.tcm.2020.02.001
Abstract
Unilateral proximal pulmonary artery stenosis is often seen in the setting of postoperative congenital heart disease. Accurate assessment of the hemodynamic significance of such a lesion is important so as to determine “When to intervene?” A thorough evaluation should include symptom assessment, anatomical assessment through detailed imaging, functional assessment using differential pulmonary blood flow measurement and cardiopulmonary exercise testing. Symptoms of exertional dyspnea or intolerance, decreased pulmonary blood flow to stenosed lung, and abnormal exertional performance would be factors to pursue therapy in the setting of significant anatomical narrowing. Safe and effective therapy can be offered through transcatheter or surgical techniques and has been shown to improve exertional performance.
Category
Review Articles Concerning Pulmonary Vascular Disease
Segmental Pulmonary Arterial Disease
Surgical and Catheter-mediated Interventions for Pulmonary Vascular Disease
Age Focus: Pediatric Pulmonary Vascular Disease or Adult Pulmonary Vascular Disease
Fresh or Filed Publication: Filed (PHiled). Greater than 1-2 years since publication
Article Access
Free PDF File or Full Text Article Available Through PubMed or DOI: No