A Perspective on Neonatal Management of Hypoplastic Left Heart Syndrome

Q2 Medicine
Emile A. Bacha MD, Stephanie N. Nguyen MD, Andrew B. Goldstone MD, PhD, David Kalfa MD, PhD
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引用次数: 0

Abstract

Hypoplastic left heart syndrome (HLHS)—a universally fatal condition only 40 years ago—remains one of the most challenging congenital heart defects. The advancements and insights gained from historical experiences with the Norwood operation have transformed the prognosis for HLHS patients and profoundly shaped contemporary outcomes. This progress has spurred continuous refinement of surgical techniques, transcatheter interventions, and perioperative care, leading to notable improvements in both survival rates and quality of life for HLHS patients. Herein, we focus on key historical lessons and their implications for future practices for neonatal management of HLHS.
新生儿左心发育不全综合征的处理展望
左心发育不全综合征(HLHS)是一种40年前普遍致命的疾病,现在仍然是最具挑战性的先天性心脏缺陷之一。从诺伍德手术的历史经验中获得的进步和见解已经改变了HLHS患者的预后,并深刻地影响了当代的预后。这一进展推动了手术技术、经导管介入治疗和围手术期护理的不断改进,导致HLHS患者的生存率和生活质量显著提高。在这里,我们关注关键的历史教训及其对未来新生儿HLHS管理实践的影响。
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来源期刊
CiteScore
3.80
自引率
0.00%
发文量
7
期刊介绍: The Pediatric Cardiac Surgery Annual is a companion to Seminars in Thoracic and Cardiovascular Surgery . Together with the Seminars, the Annual provides complete coverage of the specialty by focusing on important developments in pediatric cardiac surgery. Each annual volume has an expert guest editor who invites prominent surgeons to review the areas of greatest change in pediatric cardiac surgery during the year. Topics include 1) Complete Atrioventricular Canal; 2) New Concepts of Cardiac Anatomy and Function -- The Helical Heart; 3) Valve Reconstruction (Replacement) in Congenital Heart Disease; 4) Evolving Developments in Congenital Heart Surgery.
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