Assessment of operability for common arterial trunk without cardiac catheterisation

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...

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Bibliographic Details
Published in:Cardiology in the young 2005-06, Vol.15 (3), p.241-244
Main Authors: Hosseinpour, Amir-Reza, Shinebourne, Elliot A.
Format: Article
Language:English
Subjects:
Aorta - physiopathology
Blood Pressure - physiology
Body Surface Area
Cardiac Catheterization
Consumption
Heart Atria - physiopathology
Hemoglobins - analysis
Humans
Hypertension
Hypertension, Pulmonary - classification
Infant
Infant, Newborn
Male
Nitric oxide
Original Article
Oxygen - blood
Oxygen Consumption - physiology
Partial Pressure
Patient Care Planning
Patient Selection
Pulmonary Artery - physiopathology
Pulmonary Circulation - physiology
pulmonary vascular disease
pulmonary vascular resistance
Pulmonary Veins - physiopathology
Risk Factors
Truncus arteriosus
Truncus Arteriosus, Persistent - classification
Truncus Arteriosus, Persistent - surgery
Vascular Resistance - physiology
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Summary: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.
ISSN:1047-9511
1467-1107
DOI:10.1017/S104795110500051X