Ventricular septal defect cardiac catheterization: Difference between revisions
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{{Ventricular septal defect}} | {{Ventricular septal defect}} | ||
{{CMG}}; '''Associate Editor-In-Chief:''' [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu],[[Priyamvada Singh]], [[MBBS]] | {{CMG}}; '''Associate Editor-In-Chief:''' [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu],[[Priyamvada Singh]], [[MBBS]] | ||
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2. Infants suspected of having a large defect should undergo cardiac catheterization in the first year of life which should allow surgical correction prior to the onset of permanent pulmonary vascular obstructive disease. | 2. Infants suspected of having a large defect should undergo cardiac catheterization in the first year of life which should allow surgical correction prior to the onset of permanent pulmonary vascular obstructive disease. | ||
==References== | === ACC / AHA Guidelines- Recommendations for Cardiac Catheterization (DO NOT EDIT) === | ||
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| colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | |||
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| bgcolor="LightGreen"|'''1.''' * Cardiac catheterization to assess the operability of adults with ventricular septal defect (VSD) and pulmonary arterial hypertension (PAH) should be performed in an adult congenital heart disease (ACHD) regional center in collaboration with experts.''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])'' <nowiki>"</nowiki> | |||
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| colspan="1" style="text-align:center; background:LemonChiffon"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]] | |||
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| bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''*''' Cardiac catheterization can be useful for adults with VSD in whom noninvasive data are inconclusive and further information is needed for management. Data to be obtained include the following: | |||
* Quantification of shunting.''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])'' <nowiki>"</nowiki> | |||
** Assessment of pulmonary pressure and resistance in patients with suspected PAH. Reversibility of PAH should be tested with various vasodilators.''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])'' <nowiki>"</nowiki> | |||
** Evaluation of other lesions such as aortic regurgitation (AR) and double-chambered right ventricle.''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])'' <nowiki>"</nowiki> | |||
** Determination of whether multiple VSDs are present before surgery.''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])'' <nowiki>"</nowiki> | |||
** Performance of coronary arteriography is indicated in patients at risk for coronary artery disease''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])'' <nowiki>"</nowiki> | |||
** VSD anatomy, especially if device closure is contemplated''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])'' <nowiki>"</nowiki> | |||
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== References == | |||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 19:30, 4 October 2012
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Ventricular septal defect Microchapters | |
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Differentiating Ventricular Septal Defect from other Diseases | |
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Diagnosis | |
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ACC/AHA Guidelines for Surgical and Catheter Intervention Follow-Up | |
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Case Studies | |
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Ventricular septal defect cardiac catheterization On the Web | |
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American Roentgen Ray Society Images of Ventricular septal defect cardiac catheterization | |
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Ventricular septal defect cardiac catheterization in the news | |
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Risk calculators and risk factors for Ventricular septal defect cardiac catheterization | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Keri Shafer, M.D. [2],Priyamvada Singh, MBBS
Overview
Cardiac Catheterization
Criteria for Cardiac Catheterization:
1. The Mayo Clinic recommends cardiac catheterization for all adults and adolescents to quantify the degree of pulmonary vascular obstruction, except in those who clearly appear to have a small VSD.
2. Infants suspected of having a large defect should undergo cardiac catheterization in the first year of life which should allow surgical correction prior to the onset of permanent pulmonary vascular obstructive disease.
ACC / AHA Guidelines- Recommendations for Cardiac Catheterization (DO NOT EDIT)
| Class I |
| 1. * Cardiac catheterization to assess the operability of adults with ventricular septal defect (VSD) and pulmonary arterial hypertension (PAH) should be performed in an adult congenital heart disease (ACHD) regional center in collaboration with experts.(Level of Evidence: C) " |
| Class IIa |
"* Cardiac catheterization can be useful for adults with VSD in whom noninvasive data are inconclusive and further information is needed for management. Data to be obtained include the following:
|
References