Abstract
Amplified cardiac B-natriuretic peptide (BNP) expression results from ventricular volume or pressure overload. Clinicians have used BNP levels when evaluating cardiac performance in patients with varied clinical conditions. We report a case in which BNP levels helped guide early catheterization intervention in a patient after stage 1 Norwood palliation.
Similar content being viewed by others
References
Ashburn DA, McCrindle BW, Tchervenkov CI, Jacobs ML, Lofland GK, Bove EL, Spray TL, Williams WG, Blackstone EH (2003) Outcomes after the Norwood operation in neonates with critical aortic stenosis or aortic valve atresia. J Thorac Cardiovasc Surg 125:1070–1082
Azakie T, Merklinger SL, McCrindle BW, Van Arsdell GS, Lee KJ, Ben LN, Coles JG, Williams WG (2001) Evolving strategies and improving outcomes of the modified Norwood procedure: a 10-year single-institution experience. Ann Thorac Surg 72:1349–1353
Ghanayem NS, Hoffman GM, Musssatto KA, Cava JR, Frommelt PC, Rudd NA, Steltzer MM, Bevandic SM, Frisbee SS, Jaquiss RD, Litwin SB, Tweddell JS (2003) Home surveillance program prevents interstage mortality after the Norwood procedure. J Thorac Cardiovasc Surg 126:1367–1377
Koch A, Singer H (2003) Normal values of B type natriuretic peptide in infants, children, and adolescents. Heart 89:875–878
Koulouri S, Acherman RJ, Wong PC, Chan LS, Lewis AB (2004) Utility of B-type natriuretic peptide in differentiating congestive heart failure from lung disease in pediatric patients with respiratory distress. Pediatr Cardiol 25:341–346
Maisel AS, Koon J, Krishnaswamy P, Kazenegra R, Clopton P, Gardetto N, Morrisey R, Garcia A, Chiu A, De Maria A (2001) Utility of B-natriuretic peptide as a rapid point-of-service test for screening patients undergoing echocardiography to left ventricular dysfunction. Am Heart J 141:367–374
Pearl JM, Nelson DP, Schwartz SM, Manning PB (2002) First-stage palliation for hypoplastic left heart syndrome in the twenty-first century. Ann Thorac Surg 3:331–340
Shih CY, Sapru A, Oishi P, Azakie A, Karl TR, Harmon C, Asija R, Adatia I, Fineman JR (2006) Alterations in plasma B-type natriuretic peptide levels after repair of congenital heart defects: a potential perioperative marker. J Thorac Cardiovasc Surg 131:632–638
Takabayashi S, Kado H, Shiokawa Y, Fukae K, Nakano T (2005) Comparison of hemodynamics between Norwood procedure and systemic-to-pulmonary artery shunt for single right ventricle patients. Eur J Cardiothorac Surg 27:968–974
Thibault G, Amiri F, Garcia R (1999) Regulation of natriuretic peptide secretion by the heart. Annu Rev Physiol 61:193–217
Werknovsky G, Rome JJ, Tabbutt S, Rychik J, Cohen MS, Paridon SM, Webb G, Dodds KM, Gallagher MA, Fleck DA, Spray TL, Vetter VL, Gleason MM (2006) Guidelines for the outpatient management of complex congenital heart disease. Congenit Heart Dis 1:10–26
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Evans, W.N., Acherman, R.J., Mayman, G.A. et al. B-natriuretic Peptide: A Helpful Clinical Marker After Norwood I. Pediatr Cardiol 29, 214–216 (2008). https://doi.org/10.1007/s00246-007-9078-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00246-007-9078-y