Biventricular repair in neonates with hypoplastic left heart complex

Tchervenkov, Christo I.; Tahta, Stephen A; Jutras, Luc; Béland, Marie J.

doi:10.1016/s0003-4975(98)00803-0

Cited by 121 publications

(161 citation statements)

References 13 publications

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“…The presence of antegrade flow in the ascending aorta has been reported to be predictive of a successful biventricular approach. 10,16 This observation, however, is not supported by this series. The majority of patients who failed a biventricular repair in this cohort (12 of 14 patients) had antegrade flow in the ascending aorta and transverse arch documented by Doppler echocardiography.…”

Section: Discussioncontrasting

confidence: 75%

Predictors of Outcome of Biventricular Repair in Infants With Multiple Left Heart Obstructive Lesions

2001

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Background-Decisions regarding surgical strategy in patients with multiple left heart obstructive or hypoplastic lesions often must be made in the newborn period and are seldom reversible. Predictors of outcome of biventricular repair have not been well defined in this heterogeneous group of patients, and risk factors described for critical aortic valve stenosis have been shown to be inapplicable to patients with other left heart obstructive lesions. The goal of this study was to identify echocardiographic predictors of outcome of biventricular repair for infants with multiple left heart obstructive lesions. Methods and Results-Patients with Ն2 areas of left heart obstruction or hypoplasia, diagnosed at Յ3 months of age, who had not previously undergone surgical or catheter intervention and maintained biventricular physiology were included (nϭ72). Failure of biventricular repair was defined as takedown to a univentricular repair, cardiac transplantation, and/or death (nϭ14; 19%). This group was compared with the patients who survived a biventricular approach (nϭ58

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Section: Discussioncontrasting

confidence: 75%

Predictors of Outcome of Biventricular Repair in Infants With Multiple Left Heart Obstructive Lesions

2001

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“…Although in Tchervenkov and associates' series most patients successfully underwent two-ventricle repair during the initial operation, many of these patients required reoperation for recurrent or persistent LVOTO [23].…”

Section: Hypoplastic Left Heart Complexmentioning

confidence: 98%

“…Others have suggested that the presence of predominant or total antegrade flow in the ascending and transverse aorta is associated with survival after two-ventricle repair [20]. However, surgical series of successful biventricular repair of HLHC and LVOTO have been reported when the above criteria would have predicted a univentricular approach [21][22][23]. Furthermore, the Rhodes score has been shown to lack discriminating power in neonates with multiple levels of left heart obstruction [18,22].…”

Section: Valvar Aortic Stenosismentioning

confidence: 99%

“…Coarctation of the aorta, interrupted aortic arch, ventricular septal defect, and atrioventricular canal defects are commonly identified. Subvalvar aortic stenosis may also be a component of the Shone's complex of multilevel left-sided obstruction [146] and the hypoplastic left heart complex [23,147]. The combination of subaortic stenosis, VSD, and double-chambered right ventricle has also been described [148].…”

Section: Clinical Picture and Diagnosismentioning

confidence: 99%

“…The term hypoplastic left heart complex was first introduced by Tchervenkov and associates in 1998 to describe patients with hypoplasia of the left heart structures, without intrinsic valve stenosis or atresia [23]. Therefore, these patients have LVOTO by virtue of hypoplasia of the aortic valve and LVOT.…”

Section: Hypoplastic Left Heart Complexmentioning

confidence: 99%

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