Borderline Left Hearts & #pedsICU with Dr Peter Laussen, cardiac intensivist & anaesthesiologist from Boston Children’s Hospital who is one of the world’s most experienced people at dealing with borderline left heart patients, one of the toughest groups of critical congenital heart patients.

These patients are tricky because of issues with terminology, testing, management and differences in institutional approach. A whole-of-program understanding is vital to ensuring best outcomes.

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Selected references

  1. Kalish, B. T. et al. Biventricular Conversion After Single Ventricle Palliation in Patients With Small Left Heart Structures: Short-Term Outcomes. Ann Thorac Surg 96, 1406–1412 (2013).
  2. Emani, S. M. et al. Primary left ventricular rehabilitation is effective in maintaining two-ventricle physiology in the borderline left heart. J Thorac Cardiovasc Surg 138, 1276–1282 (2009).
  3. Kaza, A. K. & Thiagarajan, R. R. Left Ventricular Outflow Tract Obstruction. Pediatr Crit Care Me 17, S315–S317 (2016).
  4. Hickey, E. J., Caldarone, C. A. & McCrindle, B. W. Left Ventricular Hypoplasia. 59, S43–S54 (2012).
  5. Haller, C., Honjo, O., Caldarone, C. A. & Arsdell, G. S. V. Growing the Borderline Hypoplastic Left Ventricle: Hybrid Approach. Operative Techniques Thorac Cardiovasc Surg 21, 124–138 (2017).
  6. Rychik, J. Hypoplastic Left Heart Syndrome. Circulation 130, 629–631 (2014).
  7. Hickey, E. J. et al. Critical left ventricular outflow tract obstruction: The disproportionate impact of biventricular repair in borderline cases. The Journal of Thoracic and Cardiovascular Surgery 134, 1429-36-discussion 1436-7 (2007).

Season 2, Episode 2
Published: October 8, 2020
Run time: 1:05

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S2, Episode 1
Introducing Pediatrica Intensiva Single Ventricle Season

Single ventricle patients represent some of the most challenging patients with critical heart disease. Advances over the last decades have made survival possible, but far…

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