Eisenmenger’s syndrome surgery

Eisenmenger’s syndrome Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Eisenmenger’s syndrome from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Eisenmenger’s syndrome ACC/AHA Guidelines for Evaluation of Patients
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
ACC/AHA Guidelines for Reproduction
Eisenmenger’s syndrome surgery On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Eisenmenger’s syndrome surgery All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Eisenmenger’s syndrome surgery
CDC on Eisenmenger’s syndrome surgery
Eisenmenger’s syndrome surgery in the news
Blogs on Eisenmenger’s syndrome surgery
Directions to Hospitals Treating Type page name here
Risk calculators and risk factors for Eisenmenger’s syndrome surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Abdelrahman Ibrahim Abushouk, MD[2], Cafer Zorkun, M.D., Ph.D. [3]

Overview

Congenital heart defects should undergo surgical repair before progression to Eisenmenger's syndrome. Once the condition develops into Eisenmenger's syndrome, no surgical cure is available except for heart and lung transplantation. However, palliative interventions (as creation of an artificial ASD) may prolong the lifespan and improve the quality of life.

Surgery

• Congenital heart defects should undergo surgical repair before progression to Eisenmenger's syndrome.
• Once the condition develops into Eisenmenger's syndrome, no surgical cure is available except for heart and lung transplantation.
• This is because the defect itself may prevent worsening of the pulmonary vascular resistance in the face of increasing right ventricular pressure.

• However, palliative interventions may prolong the lifespan and improve the quality of life.
• For example, creation of an artificial ASD can decompress the high systolic right ventricular pressure in patients with suprasystemic pulmonary artery pressures and impending right ventricular failure.
• In children, pulmonary vascular resistance > 6 Woods units/m2 and poor vasodilator response are predictors of post-surgical complications as right heart failure, pulmonary hypertension, and hypertensive crises.
• However, surgery in general is though to lack benefit with a plethora of potential complications.