Opciones quirúrgicas actuales y sus resultados en neonatos con síndrome de corazón izquierdo hipoplásico
- Victor Bautista-Hernandez
- Alejandro Avila-Alvarez
- Gerald R. Marx
- Pedro J. del Nido
ISSN: 1695-4033, 1696-4608
Year of publication: 2019
Volume: 91
Issue: 5
Pages: 352-352
Type: Article
More publications in: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría ( AEP )
Abstract
SincethefirstsuccessfulpalliationwasperformedbyNorwoodetal.in1983,therehavebeensubstantialchangesindiagnosis,management,andoutcomesofhypoplasticleftheartsyndrome,Survivalforstage1palliationhasincreasedto90%inmanycentres,withpatientspotentiallysurvivingintoadulthood.However,theassociatedmorbidityandmortalityremainsubstantial Althoughtheprinciplesofstagedsurgicalpalliationofhypoplasticleftheartsyndromearewellestablished,thereissignificantvariabilityinsurgicalprocedureandmanagementbetweencentres,andseveralcontroversialaspectsremainunresolved.Inthisreview,wesummarizethecurrentsurgicalandmanagementoptionsfornewbornswithhypoplasticleftheartsyndromeandtheiroutcomes.