Key result
Current literature lacks consensus on whether a one- or two-stage surgical approach is preferable for correcting severe congenital heart defects combined with Eisenmenger syndrome.
Why the study?
There is no clarity in the choice of a method (one- or two-step approach) for correcting severe congenital heart defects in combination with Eisenmenger syndrome.
Answers are grounded in this paper and cite their sources.
This review highlights that while PAH-specific therapy has made surgical correction possible for some patients with Eisenmenger syndrome, the optimal surgical strategy (one- vs. two-stage) remains unclear.
Article provides review of the available world literature on performing surgical correction of the atrioventricular septal defect (AVSD) in patients with Eisenmenger syndrome such as: basic pathophysiological principles, technique, indications, clinical and hemodynamic results. Currently, according to the literature, there is no clarity in the choice of a method for correcting severe congenital heart defects in combination with Eisenmenger syndrome (one - or two-step approach). The article presents the results of studies of both one-and two-stage approaches to correction of the atrioventricular septal defect (AVSD) in this category of patients with their advantages and disadvantages.
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Mekenbayeva et al. (2021) conducted a review in Congenital heart disease with Eisenmenger syndrome. Surgical correction (one- or two-stage approach) was evaluated. Current literature lacks consensus on whether a one- or two-stage surgical approach is preferable for correcting severe congenital heart defects combined with Eisenmenger syndrome.
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