Response to "Pulmonary Flow Management by Combination Therapy of Hemostatic Clipping and Balloon Angioplasty for Right Ventricular-Pulmonary Artery Shunt in Hypoplastic Left Heart Syndrome".

IF 1.5 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pediatric Cardiology Pub Date : 2024-10-05 DOI:10.1007/s00246-024-03667-7
Mukesh Kumar, F N U Nandni, Sangeeta Davi, F N U Venjhraj, Falak Rehan
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Abstract

The article "Pulmonary Flow Management by Combination Therapy of Hemostatic Clipping and Balloon Angioplasty for Right Ventricular-Pulmonary Artery Shunt in Hypoplastic Left Heart Syndrome" offers valuable insights into Right Ventricular-Pulmonary Artery Shunt in Hypoplastic Left Heart Syndrome. This letter commends the study for its relevance and potential to improve patient care but highlights several limitations. Notably, the study overlooks the impact of Balloon angioplasty is a useful treatment for recoarctation in individuals with HLHS, but it frequently necessitates further operations. Following Norwood or Fontan palliation, stenting is safe, adaptable, and can be used to control uncommon neointimal growth. The risk of pulmonary artery stenosis may be decreased by the hemi-Fontan the technique. BA is better for recoarctation because it has fewer risks, whereas endovascular stenting helps high-risk patients avoid surgery.

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对 "针对左心发育不全综合征右室-肺动脉分流,采用止血钳和球囊血管成形术联合疗法进行肺血流管理 "的回应
通过止血钳和球囊血管成形术联合疗法治疗左心发育不全综合征右室-肺动脉分流术的肺血流管理 "一文对左心发育不全综合征右室-肺动脉分流术提供了宝贵的见解。这封信赞扬了该研究的相关性和改善患者护理的潜力,但也强调了一些局限性。值得注意的是,该研究忽视了球囊血管成形术对治疗 HLHS 患者再梗阻的影响,但它往往需要进一步手术。在诺伍德或丰坦姑息治疗后,支架植入术安全、适应性强,可用于控制不常见的新血管生长。半Fontan技术可降低肺动脉狭窄的风险。BA更适用于再梗阻,因为它的风险更小,而血管内支架植入术可帮助高风险患者避免手术。
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来源期刊
Pediatric Cardiology
Pediatric Cardiology 医学-小儿科
CiteScore
3.30
自引率
6.20%
发文量
258
审稿时长
12 months
期刊介绍: The editor of Pediatric Cardiology welcomes original manuscripts concerning all aspects of heart disease in infants, children, and adolescents, including embryology and anatomy, physiology and pharmacology, biochemistry, pathology, genetics, radiology, clinical aspects, investigative cardiology, electrophysiology and echocardiography, and cardiac surgery. Articles which may include original articles, review articles, letters to the editor etc., must be written in English and must be submitted solely to Pediatric Cardiology.
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