Hemodynamic rounds: Dilemma in the management of disconnected pulmonary arteries with double arterial ducts
Segmental pulmonary arterial hypertension occurs when the right and left pulmonary arteries are nonconfluent and receive blood supply from different sources. High blood pressure confined to limited lung segments may accelerate progression of pulmonary vascular resistance. Calculation of segmental va...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Annals of Pediatric Cardiology |
| Subjects: | |
| Online Access: | http://www.annalspc.com/article.asp?issn=0974-2069;year=2022;volume=15;issue=1;spage=53;epage=57;aulast=Sivakumar |
| _version_ | 1818196818731728896 |
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| author | Kothandam Sivakumar Ashish Ranjan Mohakud |
| author_facet | Kothandam Sivakumar Ashish Ranjan Mohakud |
| author_sort | Kothandam Sivakumar |
| collection | DOAJ |
| description | Segmental pulmonary arterial hypertension occurs when the right and left pulmonary arteries are nonconfluent and receive blood supply from different sources. High blood pressure confined to limited lung segments may accelerate progression of pulmonary vascular resistance. Calculation of segmental vascular resistance and assessment of operability in such situations are done after integrating catheter hemodynamics, magnetic resonance imaging techniques, or perfusion scintigraphy. When an isolated pulmonary artery perfused by a restrictive ipsilateral arterial duct is associated with a large nonrestrictive contralateral arterial duct connected to the other pulmonary artery, leading to unilateral pulmonary arterial hypertension and features of high vascular resistance, it offers unique challenges to decision-making. |
| first_indexed | 2024-12-12T01:40:08Z |
| format | Article |
| id | doaj.art-9d0daee222fe486f97279ade5405dc47 |
| institution | Directory Open Access Journal |
| issn | 0974-2069 |
| language | English |
| last_indexed | 2024-12-12T01:40:08Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Pediatric Cardiology |
| spelling | doaj.art-9d0daee222fe486f97279ade5405dc472022-12-22T00:42:44ZengWolters Kluwer Medknow PublicationsAnnals of Pediatric Cardiology0974-20692022-01-01151535710.4103/apc.apc_75_21Hemodynamic rounds: Dilemma in the management of disconnected pulmonary arteries with double arterial ductsKothandam SivakumarAshish Ranjan MohakudSegmental pulmonary arterial hypertension occurs when the right and left pulmonary arteries are nonconfluent and receive blood supply from different sources. High blood pressure confined to limited lung segments may accelerate progression of pulmonary vascular resistance. Calculation of segmental vascular resistance and assessment of operability in such situations are done after integrating catheter hemodynamics, magnetic resonance imaging techniques, or perfusion scintigraphy. When an isolated pulmonary artery perfused by a restrictive ipsilateral arterial duct is associated with a large nonrestrictive contralateral arterial duct connected to the other pulmonary artery, leading to unilateral pulmonary arterial hypertension and features of high vascular resistance, it offers unique challenges to decision-making.http://www.annalspc.com/article.asp?issn=0974-2069;year=2022;volume=15;issue=1;spage=53;epage=57;aulast=Sivakumardifferential lung perfusiondouble patent arterial ductsisolation of pulmonary arterypulmonary vascular resistancesegmental pulmonary hypertension |
| spellingShingle | Kothandam Sivakumar Ashish Ranjan Mohakud Hemodynamic rounds: Dilemma in the management of disconnected pulmonary arteries with double arterial ducts Annals of Pediatric Cardiology differential lung perfusion double patent arterial ducts isolation of pulmonary artery pulmonary vascular resistance segmental pulmonary hypertension |
| title | Hemodynamic rounds: Dilemma in the management of disconnected pulmonary arteries with double arterial ducts |
| title_full | Hemodynamic rounds: Dilemma in the management of disconnected pulmonary arteries with double arterial ducts |
| title_fullStr | Hemodynamic rounds: Dilemma in the management of disconnected pulmonary arteries with double arterial ducts |
| title_full_unstemmed | Hemodynamic rounds: Dilemma in the management of disconnected pulmonary arteries with double arterial ducts |
| title_short | Hemodynamic rounds: Dilemma in the management of disconnected pulmonary arteries with double arterial ducts |
| title_sort | hemodynamic rounds dilemma in the management of disconnected pulmonary arteries with double arterial ducts |
| topic | differential lung perfusion double patent arterial ducts isolation of pulmonary artery pulmonary vascular resistance segmental pulmonary hypertension |
| url | http://www.annalspc.com/article.asp?issn=0974-2069;year=2022;volume=15;issue=1;spage=53;epage=57;aulast=Sivakumar |
| work_keys_str_mv | AT kothandamsivakumar hemodynamicroundsdilemmainthemanagementofdisconnectedpulmonaryarterieswithdoublearterialducts AT ashishranjanmohakud hemodynamicroundsdilemmainthemanagementofdisconnectedpulmonaryarterieswithdoublearterialducts |