Document Detail

Univentricular heart: management options.
MedLine Citation:
PMID:  15985742     Owner:  NLM     Status:  MEDLINE    
The term ''Univentricular Heart'' encompasses a wide variety of heart defects that functionally and physiologically constitute a single ventricular chamber. The terminology ''univentricular repair'' is frequently used in the surgical literature to include those biventricular hearts that are not amenable for a final two ventricle repair and need to go through the same surgical stages as with a functionally univentricular heart, culminating finally in a total cavo-pulmonary connection. Broadly, treatment is focused on controlling the pulmonary blood flow in early infancy, by means of aorto-pulmonary shunting in pulmonary atresia or stenosis, and pulmonary artery banding or pulmonary artery disconnection with aorto-pulmonary shunt placement in high pulmonary blood flow situations. Concomitant repair of other associated conditions is required. Babies with hypoplastic left heart physiology undergo staged "Norwood" repair resulting in an eventual total cavo-pulmonary connection with the RV functioning as the systemic ventricle. In this review, medical and surgical management of these patients will be discussed, after a brief discussion of nomenclature, anatomic and physiologic considerations.
Usha Krishnan
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of pediatrics     Volume:  72     ISSN:  0973-7693     ISO Abbreviation:  Indian J Pediatr     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-06-29     Completed Date:  2006-04-10     Revised Date:  2009-07-15    
Medline Journal Info:
Nlm Unique ID:  0417442     Medline TA:  Indian J Pediatr     Country:  India    
Other Details:
Languages:  eng     Pagination:  519-24     Citation Subset:  IM    
Pediatric Cardiology, NY Medical College, Maria Fareri Children Hospital, Valhalla, NY 10595, USA.
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MeSH Terms
Cardiac Surgical Procedures
Child, Preschool
Heart Defects, Congenital / complications,  surgery*
Heart Ventricles
Hypoplastic Left Heart Syndrome / surgery
Infant, Newborn
Ventricular Outflow Obstruction / etiology

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