Assessment of operability in shunts lesions with severe PH

Presented at PVRI 2026 Congress by Anita Saxena, Fortis Escorts Heart Institute

Summary

Operability assessment in shunt lesions with pulmonary arterial hypertension is vital, particularly in low and middle-income countries. Late presentations complicate treatment, making early detection and intervention essential to avoid severe complications like Eisenmenger syndrome. Key diagnostic tools include cardiac catheterisation and pulmonary vascular resistance measurements. Treatment guidelines differ, and new parameters like diastolic pressure are emerging, emphasising the need for a personalised risk assessment approach.

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