Decision-Making for Surgery in the Management of Patients with Univentricular Heart

Ryan Robert Davies, Christian Pizarro

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

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 languageEnglish (US)
Article number61
JournalFrontiers in Pediatrics
Volume3
DOIs
StatePublished - Jul 27 2015
Externally publishedYes

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

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