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

Prabhu, Sudesh, Karl, Tom, Morwood, Jim and Alphonso, Nelson (2016) Temporary Single Ventricle Palliation for Severe Diastolic Dysfunction in a Biventricular Heart. World Journal for Pediatric and Congenital Heart Surgery, 8 3: 404-407. doi:10.1177/2150135116635145


Author Prabhu, Sudesh
Karl, Tom
Morwood, Jim
Alphonso, Nelson
Title Temporary Single Ventricle Palliation for Severe Diastolic Dysfunction in a Biventricular Heart
Journal name World Journal for Pediatric and Congenital Heart Surgery   Check publisher's open access policy
ISSN 2150-1351
2150-136X
Publication date 2016-01-01
Year available 2016
Sub-type Article (original research)
DOI 10.1177/2150135116635145
Open Access Status Not yet assessed
Volume 8
Issue 3
Start page 404
End page 407
Total pages 4
Place of publication Thousand Oaks, CA United States
Publisher Sage
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.
Keyword Norwood operation
single ventricle physiology
ventricular dysfunction
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

 
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Created: Thu, 22 Sep 2016, 22:21:33 EST by Kristen Gibbons on behalf of School of Nursing, Midwifery and Social Work