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Volume 14 - February 2004

Contents

Page 10 of 11

Recommendations of the AEPC

Long-Term Follow-up and Future Implications

  • Long-term follow-up after staged reconstruction or transplantation for patients with functionally univentricular heart

  • Gil Wernovsky, Maryanne R. K. Chrisant
  • Published online by Cambridge University Press:
    21 September 2005, pp. 115-126

  • As recently as 35 years ago, children born with a functionally single ventricle were destined to a lifetime of multiple palliative operations, and disrupted growth and development. Physical signs of their cardiac disease were evidenced by chronic hypoxemia, polycythemia, clubbing, small stature, and severely reduced exercise ability. A normal lifestyle, with typical landmarks such as uninterrupted adolescence and potential childbearing, was unlikely. The successful application of right heart bypass by Fontan and Kreutzer in the early 1970s heralded an era of multiple medical and surgical breakthroughs that have systematically improved the quality of life and long-term outlook for these children.

British Paediatric Cardiac Association: Abstracts

Obituaries

  • Samuel Kaplan, 1922–2004

  • Richard A Meyer
  • Published online by Cambridge University Press:
    20 January 2005, pp. 230-231
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Long-Term Follow-up and Future Implications

  • Achieving a balance in the current approach to the surgical treatment of hypoplastic left heart syndrome

  • James A. Quintessenza, Victor O. Morell, Jeffrey P. Jacobs
  • Published online by Cambridge University Press:
    21 September 2005, pp. 127-130

  • In this Supplement, and at its associated Symposium “Controversies of Hypoplastic Left Heart Syndrome”, various contributors presented a variety of topics regarding “state of the art” treatments for hypoplastic left heart syndrome. The extent of the differences within these various presentations attests to the very significant challenges that remain in optimizing care of these patients, and related ones with other types of functionally univentricular hearts. Of these challenges, the initial surgical approach, be it staged palliation or cardiac transplantation, has been a hotly debated issue, with diametrically opposed schools of thought.1 Today, with further experience, technical advances, and dramatically improved outcomes, there seems to be an emerging complimentary role for both options, favoring a staged reconstructive approach in the majority of circumstances. We review here the salient issues that have lead to this position, and discuss strategies for maintaining a program offering both staged palliation and transplantation for patients with hypoplasia of the left heart.

Subject Index

Letters to the Editor

Letter to the Editor

Letters to the Editor

Letter to the Editor

Obituaries

  • Manuel Quero Jiménez, 1941–2003

  • María Jesús Maître Azcárate
  • Published online by Cambridge University Press:
    20 January 2005, pp. 231-233
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British Paediatric Cardiac Association: Abstracts

Diary of Events

News from the Association for European Paediatric Cardiology

Dairy of Events

Letters to the Editor

Newsletter from the Association for European Paediatric Cardiology

Diary of Events

Letter to the Editor

Diary of Events

Page 10 of 11