Abstract
We report a case of a 15-month-old female presenting with a large aortopulmonary window during a medical mission. The optimal surgical correction for this patient would be based on an estimation of her pulmonary vascular reactivity. This report details the use of antegrade/retrograde flow ratios using Doppler measurements in the proximal descending aorta at baseline and while receiving 100% oxygen. A large increase in the proportion of retrograde flow under the 100% oxygen condition suggested a reactive pulmonary vascular bed. She underwent a complete repair with patch closure of the aortopulmonary window. A postoperative echocardiographic assessment showed near normal right ventricular pressures.
Original language | English (US) |
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Pages (from-to) | 223-226 |
Number of pages | 4 |
Journal | World journal for pediatric & congenital heart surgery |
Volume | 7 |
Issue number | 2 |
DOIs | |
State | Published - Mar 1 2016 |
Keywords
- aortic surgery
- cardiac catheterization
- cardiology
- congenital heart surgery
ASJC Scopus subject areas
- Medicine(all)