Key result
Invasive procedures such as the Potts shunt may be used in children with refractory pulmonary arterial hypertension to convert to Eisenmenger physiology and decompress the right ventricle.
Invasive procedures such as the Potts shunt may be considered in children with refractory pulmonary arterial hypertension to decompress the right ventricle by converting to Eisenmenger physiology.
Should not yet change practice in refractory pediatric PAH; leaves open efficacy and safety of Potts shunt pending prospective data.
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Kula et al. (2015) conducted a review in Refractory pulmonary arterial hypertension. Surgical and transcatheter management alternatives (Potts shunt) was evaluated. Invasive procedures such as the Potts shunt may be used in children with refractory pulmonary arterial hypertension to convert to Eisenmenger physiology and decompress the right ventricle.
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