Although hypoplasia of left heart structures presents with a spectrum of severity, management decisions are typically dichotomous: single-ventricle palliation or biventricular repair. Since the long-term outcomes of single-ventricle palliation are sub-optimal, strategies to aggressively pursue biventricular circulation in patients with borderline left heart structures have been developed. Recent strategies and surgical techniques to rehabilitate the left heart in patients with borderline left heart are described.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Seminars in Thoracic & Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Borderline left ventricle.Eur J Cardiothorac Surg. 2005; 27: 67-73
- Predictors of outcome of biventricular repair in infants with multiple left heart obstructive lesions.Circulation. 2001; 104: 682-687
- Critical aortic stenosis in the neonate: a multi-institutional study of management, outcomes, and risk factors.J Thorac Cardiovasc Surg. 2001; 121: 10-27
- Critical left ventricular outflow tract obstruction: the disproportionate impact of biventricular repair in borderline cases.J Thorac Cardiovasc Surg. 2007; 134 (discussion 1436-1437): 1429-1436
- Biventricular repair approach in ducto-dependent neonates with hypoplastic but morphologically normal left ventricle.J Am Coll Cardiol. 1999; 33: 827-834
- Biventricular repair in neonates with hypoplastic left heart complex.Ann Thorac Surg. 1998; 66: 1350-1357
- The Fontan procedure: contemporary techniques have improved long-term outcomes.Circulation. 2007; 116: I157-I164
- Fontan palliation in the modern era: factors impacting mortality and morbidity.Ann Thorac Surg. 2009; 88: 1291-1299
- Contemporary outcomes after the Fontan procedure: a Pediatric Heart Network multicenter study.J Am Coll Cardiol. 2008; 52: 85-98
- Long-term cardiopulmonary exercise capacity after modified Fontan operation.Eur J Cardiothorac Surg. 2010; 37: 204-209
- Successful biventricular repair after initial Norwood operation for interrupted aortic arch with severe left ventricular outflow tract obstruction.Ann Thorac Surg. 2001; 71: 1974-1977
- Outcome and growth potential of left heart structures after neonatal intervention for aortic valve stenosis.J Am Coll Cardiol. 2007; 50: 2406-2414
- Left heart growth, function, and reintervention after balloon aortic valvuloplasty for neonatal aortic stenosis.Circulation. 2005; 111: 451-458
- Single ventricle repair in children with Down's syndrome.Gen Thorac Cardiovasc Surg. 2008; 56 (2008): 104-108
- Biventricular repair in patients with heterotaxy syndrome.J Thorac Cardiovasc Surg. 2009; 137: 371-379-e3
- Morphometric analysis of unbalanced common atrioventricular canal using two-dimensional echocardiography.J Am Coll Cardiol. 1996; 28: 1017-1023
- Primary left ventricular rehabilitation is effective in maintaining two-ventricle physiology in the borderline left heart.J Thorac Cardiovasc Surg. 2009; 138: 1276-1282
- Staged left ventricular recruitment following single ventricle palliation in patients with borderline left heart hypoplasia.J Am Coll Cardiol. 2012; 60: 1966-1974
- Usefulness of magnetic resonance imaging of left ventricular endocardial fibroelastosis in infants after fetal intervention for aortic valve stenosis.Am J Cardiol. 2005; 96: 1568-1570
- MR findings of endocardial fibroelastosis in children.Pediatr Radiol. 2008; 38: 292-296
- Echocardiographic definition and surgical decision-making in unbalanced atrioventricular septal defect: a Congenital Heart Surgeons' Society multiinstitutional study.Circulation. 2012; 122: S209-S215
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.