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- Rabia Javed, MBBS*
- Frank Cetta, MD*,†,‡
- Sameh M. Said, MD§
- Timothy M. Olson, MD*,†,‡
- Patrick W. O'Leary, MD*,†,‡
- Muhammad Yasir Qureshi, MBBS*,†
- *Wanek Family Program for Hypoplastic Left Heart Syndrome;
- †Division of Pediatric Cardiology, Department of Pediatric and Adolescent Medicine;
- ‡Department of Cardiovascular Medicine;
- §Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN
AUTHOR DISCLOSURE
Drs Javed, Cetta, Said, Olson, O’Leary, and Qureshi have disclosed no financial relationships relevant to this article. This commentary does contain a discussion of an unapproved/investigative use of a commercial product/device.
Abstract
Hypoplastic left heart syndrome is one of the most complex congenital heart diseases and requires several cardiac surgeries for survival. The diagnosis is usually established prenatally or shortly after birth. Each stage of surgery poses a unique hemodynamic situation that requires deeper understanding to manage common pediatric problems such as dehydration and respiratory infections. Careful multidisciplinary involvement in the care of these complex patients is improving their outcome; however, morbidity and mortality are still substantial. In this review, we focus on the hemodynamic aspects of various surgical stages that a primary care provider should know to manage these challenging patients.
- © American Academy of Pediatrics, 2019. All rights reserved.
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