• Congenital heart disease · Sep 2012

    Review

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

    • Adam W Lowry.
    • Department of Pediatrics, Lillie Frank Abercrombie Section of Pediatric Cardiology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA. adamlowry@gmail.com
    • Congenit Heart Dis. 2012 Sep 1;7(5):466-78.

    AbstractInfants 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.© 2012 Wiley Periodicals, Inc.

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