The extent of liver involvement should be routinely investigated in ACHD patients
with PA-IVS regardless of the type of surgical correction (univentricular vs 1.5 ventricle
vs biventricular).
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References
- Systemic venous hypertension and low output are prevalent at catheterization in adults with pulmonary atresia and intact ventricular septum regardless of repair strategy.Sem Thorac Cardiovasc Surg. 2021; (S1043-0679(21)00465-2.)
- Restrictive right ventricular physiology and right ventricular fibrosis as assessed by cardiac magnetic resonance and exercise capacity after biventricular repair of pulmonary atresia and intact ventricular septum.Clin. Cardiol. 2010; 33: 104-110
- Residual restrictive right ventricular physiology after one-and-a-half ventricular repair conversion in pulmonary atresia with intact ventricular septum.ASE (Phila). 2020; 4: 523-525
- Prognostic value of the model for end-stage liver disease excluding INR score (MELD-XI) in patients with adult congenital heart disease.PLoS One. 2019; 14e0225403
Article info
Publication history
Published online: October 28, 2021
Footnotes
Conflicts of Interest: Author has no commercial interests to disclose.
Identification
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© 2021 Elsevier Inc. All rights reserved.
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- Systemic Venous Hypertension and Low Output Are Prevalent at Catheterization in Adults with Pulmonary Atresia and Intact Ventricular Septum Regardless of Repair StrategySeminars in Thoracic and Cardiovascular SurgeryVol. 34Issue 4
- PreviewPatients with pulmonary atresia and intact ventricular septum (PA-IVS) require intervention early in life, and most survive to a definitive procedure of either Fontan circulation or right ventricle to pulmonary artery (RV-PA) repair. It remains unknown how surgical strategy impacts hemodynamics and comorbidities in adults. Retrospective analysis of adults (age ≥18 years) with PA-IVS undergoing hemodynamic catheterization at Mayo Clinic, MN between January 2000 through January 2020 was performed.
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