Preoperative Stabilization of Infants With Hypoplastic Left Heart Syndrome Before Stage I Palliation

Critical Care Nurse
Amy Donnellan, Lindsey Justice

Abstract

Hypoplastic left heart syndrome is a severe form of congenital heart disease that results in single-ventricle physiology. Although surgical palliation in infants with this syndrome is widely agreed on in practice, variation occurs in both surgical and medical management. Perinatal factors that affect preoperative management include the subtype of the syndrome and the patient's birth weight, gestational age, and genetic abnormalities. The general aspects of perioperative stabilization and management are monitoring, use of vasoactive infusions, ventilatory support, and nutrition. Management strategies for balancing single-ventricle physiology are aimed at addressing the 3 major causes of desaturation: diminished pulmonary blood flow, low mixed venous oxygen saturation, and pulmonary venous desaturation.

References

Sep 1, 1995·European Journal of Pediatrics·H H KramerO Krogmann
Jul 13, 2004·Cardiology in the Young·David P NelsonAnthony C Chang
Jan 26, 2006·The Journal of Thoracic and Cardiovascular Surgery·Chad N StasikRichard G Ohye
Oct 24, 2007·The Annals of Thoracic Surgery·Jenifer A GlatzJack Rychik
Feb 5, 2008·The Journal of Thoracic and Cardiovascular Surgery·Vladimiro L VidaFrancis Fynn-Thompson
May 24, 2008·The Annals of Thoracic Surgery·Jenifer A GlatzJames S Tweddell
Jan 24, 2009·The Annals of Thoracic Surgery·Beth Ann JohnsonNancy S Ghanayem
Mar 17, 2010·Circulation·Doff B McElhinneyJames E Lock
Mar 24, 2011·Congenital Heart Disease·David N SchidlowUNKNOWN JCCHD National Pediatric Cardiology Quality Improvement Collaborative
Jan 4, 2012·Journal of the American College of Cardiology·Jeffrey A FeinsteinGerard R Martin
Jun 19, 2012·The Journal of Thoracic and Cardiovascular Surgery·Sarah TabbuttUNKNOWN Pediatric Heart Network Investigators
Oct 3, 2012·Cardiology in the Young·Glen J IannucciWilliam T Mahle
Jan 16, 2013·The Journal of Thoracic and Cardiovascular Surgery·George M HoffmanNancy S Ghanayem
Jun 28, 2013·World Journal for Pediatric & Congenital Heart Surgery·Chet R VillaDavid S Cooper
Jul 31, 2013·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Hanna K MarkkanenTiina H Ojala
Mar 13, 2014·Congenital Heart Disease·Rune TomsJeffrey A Alten
Apr 8, 2014·Circulation·Jane W NewburgerUNKNOWN Pediatric Heart Network Investigators

❮ Previous
Next ❯

Citations

Nov 28, 2019·Cardiology in the Young·Elizabeth C CiociolaChristoph P Hornik

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

© 2021 Meta ULC. All rights reserved