Leading article
Hypoplastic left heart syndrome
outcome and management
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Introduction |
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In this issue of Archives of Disease in Childhood, the Guy's group present their experience with staged reconstructive surgery for hypoplastic left heart syndrome (HLHS).1 This leading article reviews the management and outcome of this condition with special reference to this important paper and stresses the outcome from the perspective of antenatal diagnosis.
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Management of HLHS |
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The active surgical management of HLHS has been established in the UK over the past 12 years. It comprises three operations (Norwood stages I, II, and III) that establish the right ventricle as the systemic chamber. The first stage is discussed in more detail below. The second stage is when a cavopulmonary shunt is established and the third stage is the completion of the Fontan circulation.
PREOPERATIVE PERIOD
Figure 1A summarises the situation in the preoperative period. The
systemic and pulmonary circulations are both supplied by the right
ventricle. The balance between flow to the lungs
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Connor, J. A., Arons, R. R., Figueroa, M., Gebbie, K. M.
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