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Arch Dis Child Fetal Neonatal Ed 2005;90:F97-F102 doi:10.1136/adc.2004.051276
  • Review

The intensive care of infants with hypoplastic left heart syndrome

  1. U Theilen,
  2. L Shekerdemian
  1. Intensive Care Unit, Royal Children’s Hospital, Parkville, Australia
  1. Correspondence to:
    Dr L Shekerdemian
    Intensive Care Unit, Royal Children’s Hospital, Flemington Road, Parkville, Victoria 3052, Australia; lara.shekerdemianrch.org.au
  • Accepted 7 June 2004

Abstract

Until a little over two decades ago, hypoplastic left heart syndrome was considered an inoperable and fatal condition, with most deaths occurring in early infancy, and almost all of those affected dying before their first birthday. However, the advent of surgical palliation and advances in peri-operative care, have offered hope to these patients and their families.

Footnotes

  • ↵* Markers of systemic hypoperfusion with a high risk of end-organ dysfunction; persistent tachypnoea

  • ↵† Perinatal asphyxia and metabolic acidosis in the “collapsed” neonate; coronary hypoperfusion in the infant with excessive pulmonary flow

  • ↵‡ Ventilate initially using FiO2 0.21, PEEP 4–5 cm H2O

  • Competing interests: none declared

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