Evidence map›Paper›PMID 40741161›Full record

ArticlePulmonary circulation2025

Pharmacologic Management of Segmental Pulmonary Hypertension in Children After Unifocalization and Pulmonary Artery Reconstruction: Initial Experience.

Julian E Cameron, Doff B McElhinney, Esther Liu, Rachel K Hopper, Ritu Asija, Manchula Navaratnam, Frank L Hanley, Jeffrey A Feinstein

Abstract read
In one paragraph

Article in Pulmonary circulation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Julian E CameronDepartment of Pediatrics, Division of Pediatric Cardiology, Lucile Salter Packard Children's Hospital Stanford University School of Medicine Palo Alto California USA.ORCID https://orcid.org/0000-0001-8779-3688
Doff B McElhinneyDepartment of Cardiothoracic Surgery, Lucile Salter Packard Children's Hospital Stanford University School of Medicine Palo Alto California USA.
Esther LiuDepartment of Pediatrics, Division of Pediatric Cardiology, Lucile Salter Packard Children's Hospital Stanford University School of Medicine Palo Alto California USA.
Rachel K HopperDepartment of Pediatrics, Division of Pediatric Cardiology, Lucile Salter Packard Children's Hospital Stanford University School of Medicine Palo Alto California USA.
Ritu AsijaDepartment of Pediatrics, Division of Pediatric Cardiology, Lucile Salter Packard Children's Hospital Stanford University School of Medicine Palo Alto California USA.
Manchula NavaratnamDepartment of Anesthesia, Perioperative, and Pain Medicine, Lucile Salter Packard Children's Hospital Stanford University School of Medicine Palo Alto California USA.ORCID https://orcid.org/0000-0001-6524-6640
Frank L HanleyDepartment of Cardiothoracic Surgery, Lucile Salter Packard Children's Hospital Stanford University School of Medicine Palo Alto California USA.
Jeffrey A FeinsteinDepartment of Pediatrics, Division of Pediatric Cardiology, Lucile Salter Packard Children's Hospital Stanford University School of Medicine Palo Alto California USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Segmental pulmonary hypertension (PH) in congenital heart disease remains poorly understood with data limited to case studies. We performed a retrospective, single center study in children treated with PH medications after unifocalization/pulmonary artery reconstruction for major aortopulmonary collaterals (MAPCA). Drug response was determined by hemodynamic changes across at least two cardiac catheterizations. Mechanical properties of the segmental arteries were quantified by distensibility, stiffness, and augmentation indices. Twenty-five patients were included (8 surgical shunt, 17 complete repair), with 76% considered responsive to PH medications based on the relative decrease in maximum segmental mean pulmonary artery pressure (mPAP). At a median duration of 14 months (Q1-Q3 9.5-29), mPAP decreased from 33 mmHg (28-38) to 23 mmHg (21-32) (

Indexed as

congenital heart diseasegeneticsMAPCATetralogy of Fallotvascular stiffness

Identifiers

PMID40741161
PMCPMC12309978

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.