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Achieving a balance in the current approach to the surgical treatment of hypoplastic left heart syndrome

Published online by Cambridge University Press:  21 September 2005

James A. Quintessenza ,
Victor O. Morell  and
Jeffrey P. Jacobs
James A. Quintessenza
Affiliation:
Congenital Heart Institute of Florida, University of South Florida College of Medicine, All Children's Hospital, Tampa Children's Hospital, St. Petersburg and Tampa, Florida, USA
Victor O. Morell
Affiliation:
Congenital Heart Institute of Florida, University of South Florida College of Medicine, All Children's Hospital, Tampa Children's Hospital, St. Petersburg and Tampa, Florida, USA
Jeffrey P. Jacobs
Affiliation:
Congenital Heart Institute of Florida, University of South Florida College of Medicine, All Children's Hospital, Tampa Children's Hospital, St. Petersburg and Tampa, Florida, USA
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Extract

In this Supplement, and at its associated Symposium “Controversies of Hypoplastic Left Heart Syndrome”, various contributors presented a variety of topics regarding “state of the art” treatments for hypoplastic left heart syndrome. The extent of the differences within these various presentations attests to the very significant challenges that remain in optimizing care of these patients, and related ones with other types of functionally univentricular hearts. Of these challenges, the initial surgical approach, be it staged palliation or cardiac transplantation, has been a hotly debated issue, with diametrically opposed schools of thought.1 Today, with further experience, technical advances, and dramatically improved outcomes, there seems to be an emerging complimentary role for both options, favoring a staged reconstructive approach in the majority of circumstances. We review here the salient issues that have lead to this position, and discuss strategies for maintaining a program offering both staged palliation and transplantation for patients with hypoplasia of the left heart.

Type
Long-Term Follow-up and Future Implications
Information
Cardiology in the Young , Volume 14 , Issue S1 , February 2004 , pp. 127 - 130
Copyright
© 2004 Cambridge University Press

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