Resuscitation and perioperative management of the high-risk single ventricle patient: first-stage palliation

Congenital Heart Disease
Adam W Lowry

Abstract

Infants born with hypoplastic left heart syndrome or other lesions resulting in a single right ventricle face the highest risk of mortality among all forms of congenital heart disease. Before the modern era of surgical palliation, these conditions were universally lethal; recent refinements in surgical technique and perioperative management have translated into dramatic improvements in survival. Nonetheless, these infants remain at a high risk of morbidity and mortality, and an appreciation of single ventricle physiology is fundamental to the care of these high-risk patients. Herein, resuscitation and perioperative management of infants with hypoplastic left heart syndrome are reviewed. Basic neonatal and pediatric life support recommendations are summarized, and perioperative first-stage clinical management strategies are reviewed.

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Citations

Apr 25, 2018·Circulation·Bradley S MarinoUNKNOWN American Heart Association Congenital Cardiac Defects Committee of the Council on Cardiovascular Disease in the Young; Counc
Nov 20, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Nicola MaschiettoDiego Porras
Jun 22, 2018·Frontiers in Pediatrics·Peter C Laussen, Anne-Marie Guerguerian
Jul 4, 2021·Emergency Medicine Clinics of North America·Ashley M Strobel, Leen Alblaihed

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