Left ventricular hypoplasia: to septate or not?

When do we label a left ventricle as small? How is the decision made regarding suitability for a two-ventricle repair? Are dimensions the only criteria with which we decide, whether a ventricle will support the systemic circulation? Can we actually stimulate the growth of a borderline small left ven...

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Bibliographic Details
Published inIndian journal of thoracic and cardiovascular surgery Vol. 37; no. Suppl 1; pp. 111 - 122
Main Author Jagannath, Byalal Raghavendrarao
Format Journal Article
LanguageEnglish
Published Singapore Springer Singapore 01.01.2021
Subjects
Cardiac Surgery
Medicine
Medicine & Public Health
Review
Review Article
Surgery
Thoracic Surgery
Vascular Surgery
Critical aortic stenosis
Strategies for SV or BV pathways
Hypoplastic LV
Recruitment of LV
BV repair or SV repair
Unbalanced AV canal
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Summary:When do we label a left ventricle as small? How is the decision made regarding suitability for a two-ventricle repair? Are dimensions the only criteria with which we decide, whether a ventricle will support the systemic circulation? Can we actually stimulate the growth of a borderline small left ventricle, so that it could support the systemic circulation in future? What role does mass and shape have to play in whether a borderline ventricle will support a biventricular repair? What role does the morphology and segmental anatomy play in this decision-making? This is a review article to address these issues.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:0970-9134
0973-7723
DOI:10.1007/s12055-020-00995-0