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Staged interventional solution for a diagnostic dilemma caused by hypoplastic left ventricle with severe aortic arch

Santosh Wadile1, Kothandam Sivakumar1

  • 1Department of Pediatric Cardiology, Madras Medical Mission, Chennai, Tamil Nadu, India.

Annals of Pediatric Cardiology
|March 8, 2021
PubMed

Insights

Duct dependent aortic arch obstruction poses a challenge when the left ventricle (LV) is borderline. Catheter interventions can maintain ductal patency, offering an alternative to complex surgeries for neonates with hypoplastic left heart structures.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease
  • Interventional Cardiology

Background:

  • Duct dependent aortic arch obstruction with borderline left ventricular (LV) hypoplasia presents a diagnostic and therapeutic challenge.
  • Surgical management depends on LV adequacy to sustain systemic output post-ductal division.
  • Inadequate LVs necessitate complex procedures like the Norwood surgery.

Keywords:
Biventricular repaircatheter interventionscoarctation stentinghypoplastic left hearttransverse arch hypoplasia

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