Univentricular Heart – Perioperative management strategy
Journal Title: Journal Of Pediatric Critical Care - Year 2014, Vol 1, Issue 3
Abstract
The term univentricular heart encompasses a wide variety of heart defects that functionally and physiologically, constitute a single ventricle chamber. The disease variants comprising this spectrum are not amenable to biventricular repair, and require staged palliation culminating in cavopulmonary connection. Broadly, the management hinges on controlling pulmonary blood fl ow in early infancy, by means of aortopulmonary shunting in pulmonary atresia or stenosis or pulmonary artery banding for excess pulmonary blood fl ow situations. Concomitant repair of associated anomalies, requires addressal. Neonates and early infancy patients with hypoplastic left heart syndrome(HLHS), undergo staged Norwood procedure, resulting in eventual total cavo pulmonary connection with the right ventricle as the functional systemic chamber. The current review focuses on basics of univentricular physiology, periooperative management and with a brief discussion on the current guidelines for medical management
Authors and Affiliations
Vishal K Singh, Amit Varma, Rajesh Sharma
Keywords
Related Articles
- EP ID EP338293
- DOI 10.21304/2014.0103.00032
- Views 48
- Downloads 0
Diphtheria: Relic or Relevant
Diphtheria is an acute localized infection of the throat associated with systemic manifestations caused by the toxin producing Corynebacterium diphtheriae. Diphtheria continues to remain a serious public health problem i...
Orbital abscess in an infant: A rare presentation of sinusitis
Background: Orbital abscess is a very rare occurrence in early infancy. Case characteristics: A 40 days old infant brought with fever and sudden onset proptosis with eye lid erythema and edema of the left eye. Outcome: T...
Inborn Error Of Amino Acid And Ketone Body Metobolism (A Beta Keto Thiolase Defeciency;A Rare Case Report DOI-10.21304/2018.0501.00227
Background : β-ketothiolase deficiency is an organic acid disorder that result from inability to process the amino acid isoleucine and ketone bodies. Its deficiency occurs in less than 1 in 100000 births. Till date aroun...
Abnormal placement of central venous catheter - A case report
A 12 year female child with hepatic encephalopathy. A triple-lumen CVC was inserted via right subclavian vein through the right infraclavicular route. The position was confirmed by adequate backflow of blood and free flo...
A Practical Handbook of Pediatric Cardiac Intensive Therapy
-