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High-Risk Anatomic Subsets in Hypoplastic Left Heart Syndrome. World J Pediatr Congenit Heart Surg 2022 Sep;13(5):593-599

Date

09/03/2022

Pubmed ID

36053102

DOI

10.1177/21501351221111390

Scopus ID

2-s2.0-85147482857 (requires institutional sign-in at Scopus site)

Abstract

Despite overall improvements in outcomes for patients with hypoplastic left heart syndrome, there remain anatomic features that can place these patients at higher risk throughout their treatment course. These include severe preoperative obstruction to pulmonary venous return, restrictive atrial septum, coronary fistulae, severe tricuspid regurgitation, smaller ascending aorta diameter (especially if <2 mm), and poor ventricular function. The risk of traditional staged palliation has led to the development of alternative strategies for such patients. To further improve the outcomes, we must continue to diligently examine and study anatomic details in HLHS patients.

Author List

Geoffrion TR, Fuller SM

Author

Tracy R. Geoffrion MD Assistant Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Heart Defects, Congenital
Heart Ventricles
Humans
Hypoplastic Left Heart Syndrome
Palliative Care
Retrospective Studies
Treatment Outcome
Tricuspid Valve Insufficiency