Why the study?
How should patients with ventricular septal defect and severe pulmonary hypertension be selected for surgery?
How should patients with ventricular septal defect and severe pulmonary hypertension be selected for surgery?
Estimation of pulmonary to systemic blood flow ratio, along with comprehensive clinical and diagnostic evaluation, is critical for selecting patients with VSD and severe pulmonary hypertension for surgery.
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Supports Qp/Qs-guided selection for surgery in VSD with severe PH; leaves open prospective validation of thresholds.
DuShane et al. (1960) studied this question.
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