Eisenmenger’s syndrome other imaging findings

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

Overview

Other Imaging Findings

Cardiac catheterization may be helpful in the diagnosis of Eisenmenger syndrome. Findings on cardiac catheterization in Eisenmenger's syndrome include:

  • Severity of pulmonary arterial hypertension
  • Conduit patency and pressure gradient
  • Coexisting coronary artery anomalies (rare)
  • Degree of shunting

Cardiac catheterization permits the examination of the intracardiac structure and exclusion of potentially reversible causes of pulmonary hypertension, as well as assessment of ventricular function, examination of the intracardiac shunt, determination of pulmonary artery pressure and flow, and calculation of pulmonary vascular resistance. Hemodynamic assessment has prognostic predictive value. In one study, diastolic pulmonary artery pressures of at least 45 mm Hg and World Health Organization (WHO) classification 3-4 were associated with progression of disease.

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