Staged Left Ventricular Recruitment and Biventricular Conversion for Patients With Borderline Left Heart
Autor: | Sitaram M. Emani |
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Rok vydání: | 2016 |
Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Rehabilitation business.industry medicine.medical_treatment Unbalanced atrioventricular canal defect 030204 cardiovascular system & hematology medicine.disease Surgery Hypoplastic left heart syndrome 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Early results cardiovascular system Medicine In patient cardiovascular diseases Cardiology and Cardiovascular Medicine business |
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 |
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