{"title":"Common shunt lesions with pulmonary hypertension-who will benefit from surgery?","authors":"Shine Kumar, Raman Krishna Kumar","doi":"10.1007/s12055-024-01786-7","DOIUrl":null,"url":null,"abstract":"<p><p>Left to right shunts comprise a specific group of congenital heart disease, when identified and treated on time result in excellent outcomes. However, a proportion of these defects do not receive the timely intervention and often present late posing the question of safe operability especially in low- and middle-income countries. The lack of ample evidence and standardised guidelines often poses an enigma to the treating physician preventing appropriate and patient-friendly decision-making. Moreover, no single test or clinical feature can accurately define operability in this subset of patients. In this review, we aim to address this issue in a comprehensive and holistic manner and formulate a simplified guideline based on current evidence to help the physician to arrive at an appropriate decision.</p><p><strong>Graphical abstract: </strong>ECG, electrocardiogram; L-R left to right.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 6","pages":"718-729"},"PeriodicalIF":0.7000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102052/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Thoracic and Cardiovascular Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12055-024-01786-7","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/13 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
Left to right shunts comprise a specific group of congenital heart disease, when identified and treated on time result in excellent outcomes. However, a proportion of these defects do not receive the timely intervention and often present late posing the question of safe operability especially in low- and middle-income countries. The lack of ample evidence and standardised guidelines often poses an enigma to the treating physician preventing appropriate and patient-friendly decision-making. Moreover, no single test or clinical feature can accurately define operability in this subset of patients. In this review, we aim to address this issue in a comprehensive and holistic manner and formulate a simplified guideline based on current evidence to help the physician to arrive at an appropriate decision.
Graphical abstract: ECG, electrocardiogram; L-R left to right.
期刊介绍：
The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.
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