Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Univentricular heart: management options.

Usha Krishnan1

  • 1Pediatric Cardiology, NY Medical College, Maria Fareri Children Hospital, Valhalla, NY 10595, USA.

Indian Journal of Pediatrics
|June 30, 2005
PubMed
Summary

Univentricular heart defects require complex surgical management, often involving staged repairs like the Norwood procedure. These interventions aim to establish a total cavo-pulmonary connection, optimizing pulmonary blood flow and systemic ventricle function.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Alternative Therapeutic Approaches in the Management of Gastroparesis: A Systematic Review.

Diseases (Basel, Switzerland)·2026
Same author

Development of a lifelong core outcome set for oesophageal atresia ± tracheoesophageal fistula: the OCELOT study.

BMJ open·2026
Same author

Rome V Pediatric Upper Gastrointestinal Disorders of Gut-Brain Interaction.

Gastroenterology·2026
Same author

The Role of Vitamin D in Eosinophilic Esophagitis in Children.

Journal of paediatrics and child health·2025
Same author

A study of professional practices, attitudes and barriers to blended tube feeding in Australia and New Zealand.

Nutrition & dietetics : the journal of the Dietitians Association of Australia·2024
Same author

Exploring the determinants of self-directed learning among medical undergraduates: A qualitative study.

Journal of education and health promotion·2024

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease Surgery
  • Cardiovascular Physiology

Background:

  • Univentricular heart describes diverse defects with a single functional ventricle.
  • Surgical 'univentricular repair' applies to complex cases needing staged palliation, not a two-ventricle repair.
  • Management focuses on controlling pulmonary blood flow in infancy and addressing associated conditions.

Purpose of the Study:

  • To review the nomenclature, anatomy, and physiology of univentricular heart conditions.
  • To discuss the medical and surgical management strategies for patients with univentricular hearts.
  • To provide an overview of staged surgical palliation, including the Norwood procedure.

Main Methods:

  • Review of surgical literature on univentricular heart repair terminology.
  • Discussion of established surgical techniques for pulmonary blood flow control (shunting, banding, disconnection).
  • Description of staged palliation pathways, including the Norwood procedure for hypoplastic left heart physiology.

Main Results:

  • Surgical management is tailored to control pulmonary blood flow and achieve a total cavo-pulmonary connection.
  • The Norwood procedure is a key staged approach for hypoplastic left heart physiology, utilizing the right ventricle (RV) as the systemic ventricle.
  • Associated cardiac anomalies often require concomitant repair.

Conclusions:

  • Effective management of univentricular hearts relies on precise nomenclature, understanding of physiology, and staged surgical interventions.
  • Total cavo-pulmonary connection is a common endpoint, optimizing single-ventricle function.
  • Multidisciplinary care is essential for successful outcomes in these complex pediatric cardiac conditions.

Related Experiment Videos