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

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

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