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

A. Sánchez Andrés¹, C. González Miño², E. Valdés Diéguez³, L. Boni³, J. I. Carrasco Moreno¹

¹Pediatric Cardiology Unit, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
²Pediatric Intensive Care Unit, Hospital General de Castellón, Castellon, Spain.
³Pediatric Surgery Unit, Hospital Universitario y Politécnico La Fe, Valencia, Spain.

DOI: 10.4236/ojped.2015.51012                

Abstract

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.

Keywords

Univentricular heart, Postoperative, Congenital heart disease, Norwood, Glenn, Fontan

Conflicts of Interest

The authors declare no conflicts of interest.

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