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TitleHypoplastic Left Heart Syndrome [electronic resource] / edited by Jack Rychik, Gil Wernovsky
ImprintBoston, MA : Springer US : Imprint: Springer, 2003
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Descript XIII, 425 p. online resource


Despite approximately 50 years of progress in the management of comยญ plex congenital heart disease, hypoplastic left heart syndrome (HLHS) has been one of the last cardiac malformations to yield to effective surgical treatยญ ment. The surgical therapies for hypoplastic left heart syndrome have evolved by two quite disparate routes. One approach has been the staged reconstrucยญ tion operations utilizing an initial operation pioneered by many but developed by Dr. William Norwood and subsequently modified by many other investigators. The first stage reconstruction operation has been refined and standardized such that the majority of infants now proceed to second and third stage reconstrucยญ tive operations culminating in a Pontan Kreutzer single ventricle physiology. An alternative surgical approach has been the development of neonatal and infant heart transplantation for HLHS. This approach also has had a signifiยญ cant impact on the treatment of HLHS and other cardiac malformations and has been associated with good intermediate term results. Both of the theraยญ peutic approaches devised for treatment of hypoplastic left heart syndrome have been effective and the outcomes are continuing to improve with each


1 Epidemiology and Genetics -- 2 Fetal Development and Prenatal Evaluation -- 3 Delivery and Obstetrical Issues -- 4 Echocardiographic Imaging -- 5 Pre-Operative Management -- 6 Stage I Reconstruction -- 7 Stage I Postoperative Management -- 8 The Bidirectional Cavopulmonary Shunt -- 9 The Fontan Operation and Modifications -- 10 Anesthetic Management for HLHS -- 11 Cardiac Catheterization -- 12 Nursing Care -- 13 Infant Heart Transplantation -- 14 Neurological Issues -- 15 Feeding Issues and Somatic Growth -- 16 Cardiac Structure and Function -- 17 Arrhythmias After Surgery -- 18 Exercise Physiology and Capacity -- 19 Complications After the Fontan -- 20 Decision Analysis Strategies -- 21 What the Pediatrician Needs to Know -- 22 The Personal Perspective -- 23 Financial Implications -- Epilogue

Medicine Cardiology Cardiac surgery Medicine & Public Health Cardiology Cardiac Surgery


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