Abstract
A series of technical refinements over the past 30 years, in combination with advances in perioperative management, have resulted in dramatic improvements in the survival of patients with univentricular heart. While the goal of single-ventricle palliation remains unchanged – normalization of the pressure and volume loads on the systemic ventricle, the strategies to achieve that goal have become more diverse. Optimal palliation relies on a thorough understanding of the changing physiology over the first years of life and the risks and consequences of each palliative strategy. This review describes how to optimize surgical decision-making in univentricular patients based on a current understanding of anatomy, physiology, and surgical palliation.
Original language | English (US) |
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Article number | 61 |
Journal | Frontiers in Pediatrics |
Volume | 3 |
DOIs | |
State | Published - Jul 27 2015 |
Externally published | Yes |
Keywords
- Blalock–Taussig procedure
- Fontan procedure
- aortopulmonary shunt
- congenital heart disease
- hemi-Fontan procedure
- palliation
- single ventricle
- univentricular heart
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health