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Ann Thorac Surg 1998;66:634-640
© 1998 The Society of Thoracic Surgeons

Supplement

Which two ventricles cannot be used for a biventricular repair? Echocardiographic assessment

Norman H. Silverman, MDa, Doff B. McElhinney, MDa

a Division of Pediatric Cardiology, Department of Pediatrics, University of California, San Francisco, California, USA

Address reprint requests to: Dr Silverman, University of California, San Francisco, Box 0214, M342A, San Francisco, CA 94143-0214
e-mail: (norman_silverman{at}pedcardgateway.ucsf.edu)

Presented at the Workshop on "One and One-Half Ventricle Repairs," Gubbio, Italy, Dec 6–7, 1996.

Abstract

Background. A variety of factors can influence the suitability of a congenitally malformed heart for biventricular repair, including size, morphology, function, and dimensions and function of the inflow and outflow, among others. Although certain features have been identified that may indicate a lower probability of successful biventricular repair, our ability to predict whether a particular patient will be able to tolerate completely separate in-series systemic and pulmonary circulations remains imperfect.

Methods and Results. In this review, we discuss the echocardiographic evaluation of various factors that can influence a patient’s suitability for two ventricle repair. We call on our own experience, and illustrate our discussion with a number of echocardiographic images.

Conclusions. In most cases, echocardiography allows for full assessment of the anatomic and functional features that influence whether a patient is a suitable candidate for biventricular repair. Although a number of indices have been developed for determining who can and cannot be expected to undergo successful two ventricle repair, there remains substantial room for progress in this area.




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Left ventricular growth in selected hypoplastic left ventricles: outcome after repair of coarctation of aorta
Ann. Thorac. Surg., August 1, 1999; 68(2): 549 - 555.
[Abstract] [Full Text] [PDF]


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