Univentricular Heart – Perioperative management strategy
Journal Title: Journal Of Pediatric Critical Care - Year 2014, Vol 1, Issue 3
Abstract
The term univentricular heart encompasses a wide variety of heart defects that functionally and physiologically, constitute a single ventricle chamber. The disease variants comprising this spectrum are not amenable to biventricular repair, and require staged palliation culminating in cavopulmonary connection. Broadly, the management hinges on controlling pulmonary blood fl ow in early infancy, by means of aortopulmonary shunting in pulmonary atresia or stenosis or pulmonary artery banding for excess pulmonary blood fl ow situations. Concomitant repair of associated anomalies, requires addressal. Neonates and early infancy patients with hypoplastic left heart syndrome(HLHS), undergo staged Norwood procedure, resulting in eventual total cavo pulmonary connection with the right ventricle as the functional systemic chamber. The current review focuses on basics of univentricular physiology, periooperative management and with a brief discussion on the current guidelines for medical management
Authors and Affiliations
Vishal K Singh, Amit Varma, Rajesh Sharma
Keywords
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- EP ID EP338293
- DOI 10.21304/2014.0103.00032
- Views 56
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