Open AccessCatheter hemodynamic assessment of the univentricular circulation
Author(s) -
Oliver Stümper,
Gemma Penford
Publication year - 2017
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/apc.apc_160_16
Subject(s) - medicine , hemodynamics , catheter , intensive care medicine , fontan procedure , palliative care , cardiology , blood flow , heart disease , surgery , nursing
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.