Feeding, growth, nutrition, and optimal interstage surveillance for infants with hypoplastic left heart syndrome.

Abstract:

:Improvement in operative survival of patients with hypoplastic left heart syndrome has led to increasing emphasis on prevention of interstage mortality. Many centres have improved interstage results through programmes of home monitoring following discharge after the Norwood (Stage 1) operation. Experience with heightened interstage surveillance has identified failure to thrive during infancy as a modifiable risk factor for this population, one that has been linked to concerning outcomes at subsequent palliative surgeries. Ensuring normal growth as an infant has thus become a priority of management of patients with functionally univentricular hearts. Herein, we review the existing evidence for best practices in interstage surveillance and optimal nutrition in infants with functionally univentricular hearts. In addition, we highlight data presented at HeartWeek 2011, from Cardiology 2011, the 15th Annual Update on Pediatric and Congenital Cardiovascular Disease, and the 11th Annual International Symposium on Congenital Heart Disease.

journal_name

Cardiol Young

journal_title

Cardiology in the young

authors

Hehir DA,Cooper DS,Walters EM,Ghanayem NS

doi

10.1017/S1047951111001600

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

59-64

eissn

1047-9511

issn

1467-1107

pii

S1047951111001600

journal_volume

21 Suppl 2

pub_type

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