Hypoplastic left heart syndrome: current modalities of treatment and outcomes

Mohanty, Smruti R.; Patel, Agastya; Kundan, Simran; Radhakrishnan, Hari Bipin; Rao, Sumathi

doi:10.1007/s12055-019-00919-7

Cited by 1 publication

(1 citation statement)

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“…During the Norwood procedure, the atrial septal defect is enlarged to ensure unobstructed egress of oxygenated blood from the left atrium to the right atrium. In addition, the atrial septal defect is enlarged to ensure unobstructed egress of oxygenated blood from the left atrium to the right atrium ( 14 ).…”

Section: Surgical Management Of Hlhs Patientsmentioning

confidence: 99%

Current state of the art in hypoplastic left heart syndrome

Birla

Brimmer²,

Short³

et al. 2022

Front. Cardiovasc. Med.

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Hypoplastic left heart syndrome (HLHS) is a complex congenital heart condition in which a neonate is born with an underdeveloped left ventricle and associated structures. Without palliative interventions, HLHS is fatal. Treatment typically includes medical management at the time of birth to maintain patency of the ductus arteriosus, followed by three palliative procedures: most commonly the Norwood procedure, bidirectional cavopulmonary shunt, and Fontan procedures. With recent advances in surgical management of HLHS patients, high survival rates are now obtained at tertiary treatment centers, though adverse neurodevelopmental outcomes remain a clinical challenge. While surgical management remains the standard of care for HLHS patients, innovative treatment strategies continue to be developing. Important for the development of new strategies for HLHS patients is an understanding of the genetic basis of this condition. Another investigational strategy being developed for HLHS patients is the injection of stem cells within the myocardium of the right ventricle. Recent innovations in tissue engineering and regenerative medicine promise to provide important tools to both understand the underlying basis of HLHS as well as provide new therapeutic strategies. In this review article, we provide an overview of HLHS, starting with a historical description and progressing through a discussion of the genetics, surgical management, post-surgical outcomes, stem cell therapy, hemodynamics and tissue engineering approaches.

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Section: Surgical Management Of Hlhs Patientsmentioning

confidence: 99%