Critical Appraisal of Echocardiographic Predictors for Reintervention in TAPVC Surgery

Palanca Arias, Daniel (Universidad de Zaragoza)

Resumen: The manuscript by Stanley et al. [1] presents a valuable and methodologically sound contribution to pediatric cardiology by investigating the prognostic utility of a novel echocardiographic index—the Pulmonary Venous Variability Index (PVVI)—for predicting postoperative reintervention in children undergoing surgical repair for total anomalous pulmonary venous connection (TAPVC). This commentary critically examines the methodological robustness, clinical implications, and potential future directions of this study, emphasizing its relevance to both clinical practice and ongoing academic inquiry.

This rigorously designed retrospective study represents a significant advancement in the non-invasive preoperative assessment of patients with TAPVC. Identifying predictors for postoperative reintervention is crucial to optimizing outcomes in this complex congenital condition.

The current work builds upon previous findings by the same group, which demonstrated that the PVVI (defined as Vmax − Vmin / Vmean) may serve as a surrogate marker for preoperative obstruction. The index correlated with elevated catheterization-derived gradients and clinical evidence of obstruction.

Idioma: Inglés

DOI: 10.1111/echo.70214

Año: 2025

Publicado en: Echocardiography 42 (2025), e70214 [3 pp.]
ISSN: 0742-2822

Tipo y forma: Article (Published version)

Área (Departamento): Área Pediatría (Dpto. Microb.Ped.Radio.Sal.Pú.)