Specific Injuries Management in the Postoperative of Congenital Heart Diseases (II): Univentricular Hearts

• 作者: A. Sánchez Andrés C. González Mi?o E. Valdés Diéguez J. I. Carrasco Moreno L. Boni
• 来源期刊: 儿科学期刊(英文)
• 学科: 医学
• 关键词: Univentricular HEART POSTOPERATIVE CONGENITAL HEART disease NORWOOD Glenn FONTAN
• 年，卷（期）: 2015,（1）
• 页码范围: 67-75
• 页数: 9页
• 分类号: R5

摘要

It is very important to understand that the univentricular heart surgery is just palliative, not being in anyway a definitive or curative surgery, but nowadays it’s the best initial treatment of this complex heart disease. The fundamental philosophy of treatment of every univentricular heart is to ensure the flow system and/or restrict the lung flow. Thus, initially a patient with univentricular heart who is undergoing surgery may need to ensure systemic flow (reconstruction of the aortic?arch type Norwood), to restrict the lung flow (pulmonary banding) or to provide enough?pulmonary flow (pulmonary-systemic fistulae). However, some heart diseases with univentricular physiology remain “balanced” autonomously, until the “second” stage of palliation is performed (cavo-pulmonary anastomosis type Glenn), but others require performance of pulmonary banding, if there’s no native lung protection and/or repair of the systemic circuit in a first stage, to reach next palliation steps in the best possible conditions.