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- Title
Perioperative management of patients with poorly functioning ventricles in the setting of the functionally univentricular heart.
- Authors
Rossano, Joseph W.; Chang, Anthony C.
- Abstract
The article discusses pathophysiology that leads to ventricular dysfunction at each stage of surgical palliation, as well as the strategies for perioperative management. It will also highlight novel strategies for management of ventricular dysfunction. Patients with functionally univentricular hearts often need palliation as neonates for obstructions in the systemic outflow tract or the aortic arch, or because or diminished flow of blood to the lungs. Low pressures of coronary arterial perfusion resulting from diastolic runoff into the pulmonary arteries in neonates with functionally univentricular hearts and systemic-to-pulmonary arterial shunts can lead to myocardial ischemia, ventricular dysfunction, and cardiovascular collapse.
- Subjects
NEWBORN infants; PULMONARY blood vessels; PALLIATIVE treatment; CORONARY disease; PATHOLOGICAL physiology; CORONARY arteries
- Publication
Cardiology in the Young, 2006, Vol 16, Issue S1, p47
- ISSN
1047-9511
- Publication type
Article
- DOI
10.1017/S1047951105002325