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- W2941125514 abstract "Abstract: Biventricular repair requires two ventricles, each capable of supporting the systemic and pulmonary circulation. Septation has been interpreted as the pursuit of biventricular circulation rather than single-ventricle track. Although successful biventricular repair is preferable, the improvement in neonatal staged palliation has improved single-ventricle prognosis. Recent studies have shown the two-ventricle options that subject both the child and family to multiple surgical procedures and lengthy hospitalizations, as well as low cardiac output, should be avoided. Others argue that an aggressive approach to biventricular or one-and-one-half-ventricle management should be the goal with two ventricles and more complex intraventricular anatomy. We review diagnosis-specific issues for decision making and palliative procedures. Many of the studies regarding decision making give a specific surgical approach to a specific anatomy and physiology, along with decision-making guidelines for selecting between a biventricular and single-ventricle repair. The risk factors that have an impact on early mortality or survival, which are outlined in the chapter, are helpful for application of practice at an individual center. However, there are no data to support a particular pathway that is applicable to all centers. Multi-institutional studies that identify guidelines or calculators may be more broadly applicable. The final decision for univentricular versus biventricular is patient specific and rests on the experience of the surgeon and the institutional resources." @default.
- W2941125514 created "2019-05-03" @default.
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- W2941125514 date "2019-01-01" @default.
- W2941125514 modified "2023-09-26" @default.
- W2941125514 title "Palliative Procedures" @default.
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- W2941125514 doi "https://doi.org/10.1016/b978-1-4557-0760-7.00062-0" @default.
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