Staged Left Ventricular Recruitment and Biventricular Conversion for Patients With Borderline Left Heart

Autor: Sitaram M. Emani
Rok vydání: 2016
Předmět:
Zdroj: Operative Techniques in Thoracic and Cardiovascular Surgery. 21:112-123
ISSN: 1522-2942
DOI: 10.1053/j.optechstcvs.2017.02.003
Popis: A borderline left heart may be present in patients with hypoplastic left heart syndrome or an unbalanced atrioventricular canal defect. Traditionally, such patients have been managed either by high-risk biventricular repair in infancy or during the neonatal period, or by definitive single-ventricle palliation. In this article, we present an approach for staged left ventricular recruitment that promotes gradual rehabilitation of left heart structures and allows delay in the commitment to either a single-ventricle pathway or a biventricular pathway. The rationale, techniques, and early results are described.
Databáze: OpenAIRE