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Commentary: Is Resistance Futile?

  • Danielle Gottlieb Sen
    Correspondence
    Address reprint requests to Danielle Gottlieb Sen, MS, MD, MPH, Department of Surgery, Division of Pediatric Cardiac Surgery, Johns Hopkins School of Medicine, Baltimore, MD 21287, (443) 287-1262.
    Affiliations
    Department of Surgery, Johns Hopkins School of Medicine, Baltimore, MD
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      Treprostenil improved surgical candidacy for SV patients with high PVR following stage I and stage II. Mechanistic work and clinical trials are needed to establish the benefits of TRE for SV patients.
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      Linked Article

      • Subcutaneous Treprostinil Improves Surgical Candidacy for Next Stage Palliation in Single Ventricle Patients With High-Risk Hemodynamics
        Seminars in Thoracic and Cardiovascular Surgery
        • Preview
          Single ventricle (SV) patients with pulmonary vascular disease (SV-PVD) are considered poor surgical candidates for Glenn or Fontan palliation. Given limited options for Stage 1 (S1) and Stage 2 (S2) SV patients with SV-PVD, we report on the use of subcutaneous treprostinil (TRE) to treat SV-PVD in this population. This single-center, retrospective cohort study examined SV patients who were not candidates for subsequent surgical palliation due to SV-PVD and were treated with TRE. The primary outcome was ability to progress to the next surgical stage; secondary outcomes included changes in hemodynamics after TRE initiation.
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