Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-19T04:47:37.285Z Has data issue: false hasContentIssue false
  • English
  • Français

Transplantation is the best treatment for hypoplastic left heart syndrome

Published online by Cambridge University Press:  21 September 2005

Leonard L. Bailey
Leonard L. Bailey
Affiliation:
Department of Surgery, Loma Linda University, Loma Linda, California, USA
Get access Rights & Permissions [Opens in a new window]

Extract

Thank you for asking me to make the case for cardiac transplantation in this debate. Marshall, that was a truly comprehensive and spectacular defense of the value of reconstructive surgery in babies born with hypoplastic left heart syndrome. It is clear that the potential for babies born with this complex and lethal malformation has improved dramatically over the past 2 decades. The improvement in outcome is a direct result of complementary surgical strategies. Marshall Jacobs has constructed a stellar review outlining the important issues relating to the ever-evolving staged palliative reconstruction for hypoplastic left heart syndrome. And, he appealed to those present at the Symposium with some images of extraordinary children who represent the most favorable outcomes seen today after staged reconstructive surgery. It would be inappropriate for me to criticize or condemn any feature of these favorable outcomes.

Type
Debates
Information
Cardiology in the Young , Volume 14 , Issue S1 , February 2004 , pp. 109 - 111
Copyright
© 2004 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Daebritz SH, Nollert GD, Zurakowski D, et al. Results of Norwood stage I operation: comparison of hypoplastic left heart syndrome with other malformations. J Thorac Cardiovasc Surg 2000; 119: 358–367.Google Scholar
Williams DL, Gelijns AC, Moskowitz AJ, et al. Hypoplastic left heart syndrome: valuing the survival. J Thorac Cardiovasc Surg 2000; 119: 720–731.Google Scholar
Bando K, Murphy D, Flaspohler T, et al. Effect of repair strategy on cost and outcome for infants with hypoplastic left heart syndrome: palliation versus heart transplant. Presented at the 79th Annual Meeting of the American Association for Thoracic Surgery, April 18–21, 1999, New Orleans, LA.
Mahle WT, Spray TL, Wernovsky G, Gaynor JW, Clark BJ 3rd. Survival after reconstructive surgery for hypoplastic left heart syndrome: a 15-year experience from a single institution. Circulation 2000; 102: III136–141.Google Scholar
Checchia PA, Larsen R, Sehra R, Liu A, Daher N, Gundry S, Bailey L. The effect of a candidate selection scoring system and postoperative care protocol on survival following hypoplastic left heart syndrome palliation. Presented at the Society of Critical Care Medicine 32nd Critical Care Congress. January, 2003, San Antonio, Texas. Crit Care Med (Suppl.) 2003; 31: A73.Google Scholar