Paediatrician's guide to post-operative care for functionally univentricular CHD: a review

Christina Ronai, Sarosh P. Batlivala, Quang Tuyen Nguyen, Markus S. Renno, Lindsay Arthur, Julie Glickstein, Jonathan N. Johnson, Jacob R. Miller, Carolyn A. Altman, Elif Seda Selamet Tierney

Research output: Contribution to journalReview articlepeer-review

Abstract

IMPORTANCE: Single ventricle CHD affects about 5 out of 100,000 newborns, resulting in complex anatomy often requiring multiple, staged palliative surgeries. Paediatricians are an essential part of the team that cares for children with single ventricle CHD. These patients often encounter their paediatrician first when a complication arises, so it is critical to ensure the paediatrician is knowledgeable of these issues to provide optimal care. OBSERVATIONS: We reviewed the subtypes of single ventricle heart disease and the various palliative surgeries these patients undergo. We then searched the literature to detail the general paediatrician's approach to single ventricle patients at different stages of surgical palliation. CONCLUSIONS AND RELEVANCE: Single ventricle patients undergo staged palliation that drastically changes physiology after each intervention. Coordinated care between their paediatrician and cardiologist is requisite to provide excellent care. This review highlights what to expect when these patients are seen by their paediatrician for either well child visits or additional visits for parental or patient concern.

Original languageEnglish (US)
Pages (from-to)1547-1553
Number of pages7
JournalCardiology in the young
Volume32
Issue number10
DOIs
StatePublished - Oct 1 2022

Keywords

  • Cardiac surgery
  • post-operative care
  • primary care
  • single ventricle

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

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