Perioperative and Anesthetic Considerations in Pulmonary Atresia With Intact Ventricular Septum
Pulmonary atresia with intact ventricular septum (PA/IVS) is a rare right-heart obstructive lesion with a wide anatomic and physiologic spectrum of disease, ranging from simple membranous pulmonary valve atresia with a fully developed right ventricle (RV) to a severely hypoplastic RV and ventriculoc...
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| Veröffentlicht in: | Seminars in cardiothoracic and vascular anesthesia 2018-09, Vol.22 (3), p.256-264 |
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| container_title | Seminars in cardiothoracic and vascular anesthesia |
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| creator | Gleich, Stephen Latham, Gregory J. Joffe, Denise Ross, Faith J. |
| description | Pulmonary atresia with intact ventricular septum (PA/IVS) is a rare right-heart obstructive lesion with a wide anatomic and physiologic spectrum of disease, ranging from simple membranous pulmonary valve atresia with a fully developed right ventricle (RV) to a severely hypoplastic RV and ventriculocoronary (RV-coronary) fistulas. Affected neonates are dependent on prostaglandin for adequate pulmonary blood flow. Depending on the severity of disease, treatment options range from transcatheter pulmonary valve perforation and ultimate biventricular repair to staged single-ventricle palliation. Cardiac transplantation is recommended in the most severe cases. This review will discuss the perioperative and anesthetic management of patients with PA/IVS and highlight the challenges in management. |
| doi_str_mv | 10.1177/1089253217737180 |
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Affected neonates are dependent on prostaglandin for adequate pulmonary blood flow. Depending on the severity of disease, treatment options range from transcatheter pulmonary valve perforation and ultimate biventricular repair to staged single-ventricle palliation. Cardiac transplantation is recommended in the most severe cases. This review will discuss the perioperative and anesthetic management of patients with PA/IVS and highlight the challenges in management.</description><identifier>ISSN: 1089-2532</identifier><identifier>EISSN: 1940-5596</identifier><identifier>DOI: 10.1177/1089253217737180</identifier><identifier>PMID: 29047321</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Anesthesia - methods ; Coronary Circulation ; Heart Defects, Congenital - diagnostic imaging ; Heart Defects, Congenital - physiopathology ; Heart Defects, Congenital - surgery ; Humans ; Perioperative Care ; Pulmonary Atresia - diagnostic imaging ; Pulmonary Atresia - physiopathology ; Pulmonary Atresia - surgery</subject><ispartof>Seminars in cardiothoracic and vascular anesthesia, 2018-09, Vol.22 (3), p.256-264</ispartof><rights>The Author(s) 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-c72fe79398651ff606362c61a78be61bd52f52d3882e3fad2b9fe9181f0b306a3</citedby><cites>FETCH-LOGICAL-c337t-c72fe79398651ff606362c61a78be61bd52f52d3882e3fad2b9fe9181f0b306a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1089253217737180$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1089253217737180$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29047321$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gleich, Stephen</creatorcontrib><creatorcontrib>Latham, Gregory J.</creatorcontrib><creatorcontrib>Joffe, Denise</creatorcontrib><creatorcontrib>Ross, Faith J.</creatorcontrib><title>Perioperative and Anesthetic Considerations in Pulmonary Atresia With Intact Ventricular Septum</title><title>Seminars in cardiothoracic and vascular anesthesia</title><addtitle>Semin Cardiothorac Vasc Anesth</addtitle><description>Pulmonary atresia with intact ventricular septum (PA/IVS) is a rare right-heart obstructive lesion with a wide anatomic and physiologic spectrum of disease, ranging from simple membranous pulmonary valve atresia with a fully developed right ventricle (RV) to a severely hypoplastic RV and ventriculocoronary (RV-coronary) fistulas. Affected neonates are dependent on prostaglandin for adequate pulmonary blood flow. Depending on the severity of disease, treatment options range from transcatheter pulmonary valve perforation and ultimate biventricular repair to staged single-ventricle palliation. Cardiac transplantation is recommended in the most severe cases. This review will discuss the perioperative and anesthetic management of patients with PA/IVS and highlight the challenges in management.</description><subject>Anesthesia - methods</subject><subject>Coronary Circulation</subject><subject>Heart Defects, Congenital - diagnostic imaging</subject><subject>Heart Defects, Congenital - physiopathology</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Humans</subject><subject>Perioperative Care</subject><subject>Pulmonary Atresia - diagnostic imaging</subject><subject>Pulmonary Atresia - physiopathology</subject><subject>Pulmonary Atresia - surgery</subject><issn>1089-2532</issn><issn>1940-5596</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UM1LwzAcDaK4Ob17khy9VPOxps1xDD8GAwd-HUva_uIy2rQmqeB_b-amB8HTe_A-4D2Ezim5ojTLrinJJUs5i5xnNCcHaEzllCRpKsVh5FFOtvoInXi_IYQRRvkxGjFJplmMjVGxAme6HpwK5gOwsjWeWfBhDcFUeN5Zb-pvMTJsLF4NTdtZ5T7xLDjwRuFXE9Z4YYOqAn4BG5yphkY5_Ah9GNpTdKRV4-FsjxP0fHvzNL9Plg93i_lsmVScZyGpMqYhk1zmIqVaCyK4YJWgKstLELSsU6ZTVvM8Z8C1qlkpNUiaU01KToTiE3S56-1d9z7EAUVrfAVNoyx0gy-ojDdIMaUkWsnOWrnOewe66J1p46SCkmJ7a_H31hi52LcPZQv1b-Dnx2hIdgav3qDYdIOzce3_hV9QQn_w</recordid><startdate>201809</startdate><enddate>201809</enddate><creator>Gleich, Stephen</creator><creator>Latham, Gregory J.</creator><creator>Joffe, Denise</creator><creator>Ross, Faith J.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201809</creationdate><title>Perioperative and Anesthetic Considerations in Pulmonary Atresia With Intact Ventricular Septum</title><author>Gleich, Stephen ; Latham, Gregory J. ; Joffe, Denise ; Ross, Faith J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-c72fe79398651ff606362c61a78be61bd52f52d3882e3fad2b9fe9181f0b306a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Anesthesia - methods</topic><topic>Coronary Circulation</topic><topic>Heart Defects, Congenital - diagnostic imaging</topic><topic>Heart Defects, Congenital - physiopathology</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Humans</topic><topic>Perioperative Care</topic><topic>Pulmonary Atresia - diagnostic imaging</topic><topic>Pulmonary Atresia - physiopathology</topic><topic>Pulmonary Atresia - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gleich, Stephen</creatorcontrib><creatorcontrib>Latham, Gregory J.</creatorcontrib><creatorcontrib>Joffe, Denise</creatorcontrib><creatorcontrib>Ross, Faith J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Seminars in cardiothoracic and vascular anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gleich, Stephen</au><au>Latham, Gregory J.</au><au>Joffe, Denise</au><au>Ross, Faith J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perioperative and Anesthetic Considerations in Pulmonary Atresia With Intact Ventricular Septum</atitle><jtitle>Seminars in cardiothoracic and vascular anesthesia</jtitle><addtitle>Semin Cardiothorac Vasc Anesth</addtitle><date>2018-09</date><risdate>2018</risdate><volume>22</volume><issue>3</issue><spage>256</spage><epage>264</epage><pages>256-264</pages><issn>1089-2532</issn><eissn>1940-5596</eissn><abstract>Pulmonary atresia with intact ventricular septum (PA/IVS) is a rare right-heart obstructive lesion with a wide anatomic and physiologic spectrum of disease, ranging from simple membranous pulmonary valve atresia with a fully developed right ventricle (RV) to a severely hypoplastic RV and ventriculocoronary (RV-coronary) fistulas. 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| ispartof | Seminars in cardiothoracic and vascular anesthesia, 2018-09, Vol.22 (3), p.256-264 |
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| subjects | Anesthesia - methods Coronary Circulation Heart Defects, Congenital - diagnostic imaging Heart Defects, Congenital - physiopathology Heart Defects, Congenital - surgery Humans Perioperative Care Pulmonary Atresia - diagnostic imaging Pulmonary Atresia - physiopathology Pulmonary Atresia - surgery |
| title | Perioperative and Anesthetic Considerations in Pulmonary Atresia With Intact Ventricular Septum |
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