Does Palliative Balloon Pulmonary Valvuloplasty in a tetralogy of fallot patient with significant biventricular dysfunction help?

Sunil Thanvi @Sunil-Thanvi

26 January 2014 1 1K Report

Especially in older children or young adults , probably by offloading the RV ?

Nikolaus Alexander Haas

If you have a genuine TOF - i.e. no corrective surgery - the patient is blue....

- so - balloon may improve the saturation and increase LV/RV function

- ther is no offloading of the RV in this situation

- increased PA flow will increase the load of the LV - usually well compensated

Nik

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