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The Left Ventricle in Congenital Diaphragmatic Hernia: Implications for the Management of Pulmonary Hypertension

2018; Elsevier BV; Volume: 197; Linguagem: Inglês

10.1016/j.jpeds.2018.02.040

1097-6833

John P. Kinsella, Robin H. Steinhorn, Mary P. Mullen, Rachel K. Hopper, Roberta L. Keller, D. Dunbar Ivy, Eric D. Austin, Usha Krishnan, Erika B. Rosenzweig, Jeffrey R. Fineman, Allen D. Everett, Brian D. Hanna, Tilman Humpl, J. Usha Raj, Steven H. Abman,

Cardiac Structural Anomalies and Repair

We examined the results of cardiac catheterization in infants with congenital diaphragmatic hernia (CDH) from 2009 to 2020. Catheterization confirmed pulmonary arterial hypertension in all cases (n = 17) and identified left ventricular (LV) diastolic dysfunction (LVDD) in 53%. LVDD was associated with greater respiratory morbidity. Preprocedural noninvasive assessment showed inconsistent agreement with catheterization results.