Pulmonary arterial wall thickness in Eisenmenger Syndrome: Prospective, cross-sectional, controlled clinical trial

Abstract

PAWT can be used as an additional parameter with other echocardiographic parameters in the follow-up of Eisenmenger Syndrome in children.

Pulmonary arterial wall thickness as a promising echocardiographic follow-up parameter in severe pediatric pulmonary hypertension

“…The remarkable study from Narin et al clearly supports the notion that the RV is highly susceptible to chronic pressure overload in pediatric patients with severe PH. This might emphasize the importance of their data for future follow‐up examinations in children with different forma of PH.…”

“…Recent studies on pediatric idiopathic PH, and in PH‐patients secondary to congenital heart disease (CHD) suggest that the systolic RV function progressively deteriorates over time . About half of the PH patients in childhood have an underlying CHD, which highlights the importance of noninvasive echocardiographic tools for the evaluation of the RV systolic function in these patients, as suggested by Narin et al Their findings in children with the Eisenmenger Syndrome add up to recent data in PH‐CHD patients showing increased RV wall thickness and impaired RV systolic function . Narin et al concluded that determination of the TAPSE is a promising technique to monitor RV function in children with severe PH.…”

“…About half of the PH patients in childhood have an underlying CHD, which highlights the importance of noninvasive echocardiographic tools for the evaluation of the RV systolic function in these patients, as suggested by Narin et al Their findings in children with the Eisenmenger Syndrome add up to recent data in PH‐CHD patients showing increased RV wall thickness and impaired RV systolic function . Narin et al concluded that determination of the TAPSE is a promising technique to monitor RV function in children with severe PH. We agree with their findings and want to emphasize the importance of echocardiographic evaluation of TAPSE values for longitudinal management of pediatric PH patients.…”

“…With interest we read the article “Pulmonary Arterial Wall Thickness in Eisenmenger Syndrome: Prospective, Cross‐sectional, Controlled Clinical Trial” from Narin et al They have studied right ventricular (RV) systolic function using the tricuspid annular plane systolic excursion (TAPSE), the pulmonary artery wall thickness (PAWT), and the PA diameter in children with the Eisenmenger Syndrome, the most severe form of pulmonary hypertension (PH) .…”