Temporary Single Ventricle Palliation for Severe Diastolic Dysfunction in a Biventricular Heart-Reference-Cited by-同舟云学术

Temporary Single Ventricle Palliation for Severe Diastolic Dysfunction in a Biventricular Heart

Published:2016-05-06 Issue:3 Volume:8 Page:404-407
ISSN:2150-1351
Container-title:World Journal for Pediatric and Congenital Heart Surgery
language:en
Short-container-title:World J Pediatr Congenit Heart Surg

Author:

Prabhu Sudesh¹²³,Karl Tom¹²,Morwood Jim¹,Alphonso Nelson¹²³

Affiliation:

1. Queensland Paediatric Cardiac Services, Lady Cilento Children’s Hospital, Brisbane, Australia

2. UQ School of Medicine, University of Queensland, Brisbane, Australia

3. Mater Medical Research Institute, Brisbane, Australia

Abstract

We describe a neonate with severe left ventricular (LV) dysfunction manifesting soon after birth, who required extracorporeal life support (ECLS). Multiple attempts at separation from ECLS resulted in high left atrial pressures and hemorrhagic pulmonary edema. The inability to separate from ECLS after ten days prompted an unconventional treatment strategy. We performed a modified Norwood operation for LV rehabilitation on day 10 of ECLS. This was followed by successful separation from ECLS. Left ventricular function recovered, and the child underwent conversion to a biventricular circulation on 128 days post-Norwood.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Pediatrics, Perinatology and Child Health,Surgery

Link

http://journals.sagepub.com/doi/pdf/10.1177/2150135116635145

Reference9 articles.

1. Considerations in biventricular repair after the Norwood procedure

2. Biventricular repair after Norwood palliation

3. Two-stage biventricular rehabilitation for critical aortic stenosis with severe left ventricular dysfunction

4. Left ventricular compliance: Mechanisms and clinical implications