Neonatal surgical reconstruction and peri-operative care for hypoplastic left heart syndrome: current strategies

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Stephanie Fuller1, Nancy Ghanayem, Paul Chai

  • 1Cardiac Surgery, Children's Hospital of Philadelphia, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA. FULLERS@email.chop.edu

Cardiology in the Young
|December 14, 2011
PubMed

Insights

Management of hypoplastic left heart syndrome (HLHS) in newborns has improved outcomes over 30 years. This review focuses on current peri-operative and palliative surgical strategies for HLHS.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease
  • Surgical Innovation

Background:

  • Hypoplastic left heart syndrome (HLHS) is a complex congenital heart defect.
  • Significant advancements in management have led to improved survival rates over the past three decades.

Purpose of the Study:

  • To review current peri-operative and palliative surgical strategies for HLHS.
  • To provide a descriptive overview of evolving treatment approaches.

Main Methods:

  • Literature review focusing on descriptive analysis.
  • Synthesis of information from multi-centered databases and limited prospective trials.

Main Results:

  • Management strategies for HLHS have evolved considerably.
  • Outcomes have dramatically improved due to these changes.

Conclusions:

  • Current peri-operative and palliative surgical strategies represent the forefront of HLHS management.
  • Further research is needed to compare outcomes of different strategies.

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