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Prolonged Right-Ventricle-to-Left-Ventricle Support (Hybrid or Surgical) to Delay Decision-Making in Borderline Left Ventricles

  • Stephen C. Brown
  • Benedicte Eyskens
  • Bjorn Cools
  • Filip Rega
  • Ruth Heing
  • Derize Boshoff
  • Bart Meyns
  • Marc GewilligEmail author
Chapter

Abstract

A borderline left ventricle in a neonate is an ill-defined term; it suggests that if a biventricular (BV) circulation is anticipated, it is at an increased risk for morbidity and mortality. Hybrid procedures for hypoplastic left heart syndrome (HLHS) have allowed new treatment strategies to be developed. Right ventricle (RV) assist of left ventricle by means of the creation of a percutaneous or surgical shunt in combination with bilateral pulmonary artery banding allows time for catch-up growth of the left heart. In cases of failure of attempt at biventricular circulation, a surgical right ventricle assist of left ventricle may be considered as a bail-out procedure. In this chapter this management strategy is discussed.

Keywords

Hybrid Borderline Percutaneous Surgery Angioplasty 

Notes

Acknowledgement

Figures by Medical-illustration: s_philippaerts@hotmail.com

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Stephen C. Brown
    • 1
    • 2
  • Benedicte Eyskens
    • 2
  • Bjorn Cools
    • 2
  • Filip Rega
    • 3
  • Ruth Heing
    • 2
  • Derize Boshoff
    • 2
  • Bart Meyns
    • 3
  • Marc Gewillig
    • 2
    Email author
  1. 1.Pediatric CardiologyUniversity of the Free StateBloemfonteinSouth Africa
  2. 2.Pediatric CardiologyUniversity Hospitals LeuvenLeuvenBelgium
  3. 3.Congenital Cardiac SurgeryUniversity Hospitals LeuvenLeuvenBelgium

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