Hypoplastic Left Heart Syndrome - a Review of Supportive Percutaneous Treatment

Overview

Journal Postepy Kardiol Interwencyjnej

Publisher Termedia

Specialty Cardiology & Vascular Diseases

Date 2014 Dec 10

PMID 25489307

Citations 1

Authors

Tomasz Moszura

Sebastian Goreczny

Pawel Dryzek

Affiliations

Soon will be listed here.

Abstract

Due to the complex anatomical and haemodynamic consequences of hypoplastic left heart syndrome (HLHS), patients with the condition require multistage surgical and supportive interventional treatment. Percutaneous interventions may be required between each stage of surgical palliation, sometimes simultaneously with surgery as hybrid interventions, or after completion of multistage treatment. Recent advances in the field of interventional cardiology, including new devices and techniques, have significantly contributed to improving results of multistage HLHS palliation. Knowledge of the potential interventional options as well as the limitation of percutaneous interventions will enable the creation of safe and effective treatment protocols in this highly challenging group of patients. In this comprehensive review we discuss the types, goals, and potential complications of transcatheter interventions in patients with HLHS.

Citing Articles

An Up-to-Date Narrative Review on Congenital Heart Disease Percutaneous Treatment in Children Using Contemporary Devices.

Moisa S, Burlacu A, Brinza C, Tarca E, Butnariu L, Trandafir L Diagnostics (Basel). 2022; 12(5).

PMID: 35626343 PMC: 9139868. DOI: 10.3390/diagnostics12051189.

References

OLaughlin M, Perry S, Lock J, Mullins C . Use of endovascular stents in congenital heart disease. Circulation. 1991; 83(6):1923-39. DOI: 10.1161/01.cir.83.6.1923. View

Zeevi B, Berant M, Blieden L . Midterm clinical impact versus procedural success of balloon angioplasty for pulmonary artery stenosis. Pediatr Cardiol. 1997; 18(2):101-6. DOI: 10.1007/s002469900125. View

Kopf G, Kleinman C, Hijazi Z, Fahey J, Dewar M, Hellenbrand W . Fenestrated Fontan operation with delayed transcatheter closure of atrial septal defect. Improved results in high-risk patients. J Thorac Cardiovasc Surg. 1992; 103(6):1039-47; discussion 1047-8. View

Ing F . Delivery of stents to target lesions: techniques of intraoperative stent implantation and intraoperative angiograms. Pediatr Cardiol. 2005; 26(3):260-6. DOI: 10.1007/s00246-005-1007-3. View

Pavlovic M, Acharya G, Huhta J . Controversies of fetal cardiac intervention. Early Hum Dev. 2008; 84(3):149-53. DOI: 10.1016/j.earlhumdev.2008.01.006. View

Stumper O, Gewillig M, Vettukattil J, Budts W, Chessa M, Chaudhari M . Modified technique of stent fenestration of the atrial septum. Heart. 2003; 89(10):1227-30. PMC: 1767900. DOI: 10.1136/heart.89.10.1227. View

Galantowicz M, Cheatham J, Phillips A, Cua C, Hoffman T, Hill S . Hybrid approach for hypoplastic left heart syndrome: intermediate results after the learning curve. Ann Thorac Surg. 2008; 85(6):2063-70. DOI: 10.1016/j.athoracsur.2008.02.009. View

Pearl J, Laks H, Barthell S, Drinkwater Jr D, Capouya E, Chang P . Spontaneous closure of fenestrations in an interatrial Gore-Tex patch: application to the Fontan procedure. Ann Thorac Surg. 1994; 57(3):611-4. DOI: 10.1016/0003-4975(94)90553-3. View

Gentles T, Lock J, Perry S . High pressure balloon angioplasty for branch pulmonary artery stenosis: early experience. J Am Coll Cardiol. 1993; 22(3):867-72. DOI: 10.1016/0735-1097(93)90205-f. View

10.

Nakano T, Fukae K, Sonoda H, Tachibana T, Kajimoto M, Ando Y . Follow-up study of pulmonary artery configuration in hypoplastic left heart syndrome. Gen Thorac Cardiovasc Surg. 2008; 56(2):54-61. DOI: 10.1007/s11748-007-0189-4. View

11.

Simpson J . Fetal cardiac interventions: worth it?. Heart. 2009; 95(20):1653-5. DOI: 10.1136/hrt.2008.160739. View

12.

Caballero S, Torre I, Arias B, Blanco D, Zabala J, Luna M . [Secondary effects of prostaglandin E1 on the management of hypoplastic left heart syndrome while waiting for heart transplantation]. An Esp Pediatr. 1998; 48(5):505-9. View

13.

Pedra C, Neves J, Pedra S, Ferreiro C, Jatene I, Cortez T . New transcatheter techniques for creation or enlargement of atrial septal defects in infants with complex congenital heart disease. Catheter Cardiovasc Interv. 2007; 70(5):731-9. DOI: 10.1002/ccd.21260. View

14.

Woo K, Emery J, Peabody J . Cortical hyperostosis: a complication of prolonged prostaglandin infusion in infants awaiting cardiac transplantation. Pediatrics. 1994; 93(3):417-20. View

15.

Moszura T, Dryzek P, Goreczny S, Mazurek-Kula A, Moll J, Sysa A . A 10-year single-centre experience in percutaneous interventions for multi-stage treatment of hypoplastic left heart syndrome. Cardiol Young. 2013; 24(1):54-63. DOI: 10.1017/S104795111200220X. View

16.

Bailey L, Concepcion W, Shattuck H, Huang L . Method of heart transplantation for treatment of hypoplastic left heart syndrome. J Thorac Cardiovasc Surg. 1986; 92(1):1-5. View

17.

Wilson D, Wisheart J, Stuart A . Systemic thromboembolism leading to myocardial infarction and stroke after fenestrated total cavopulmonary connection. Br Heart J. 1995; 73(5):483-5. PMC: 483869. DOI: 10.1136/hrt.73.5.483. View

18.

Lock J, Fuhrman B, Bass J . Balloon dilation angioplasty of hypoplastic and stenotic pulmonary arteries. Circulation. 1983; 67(5):962-7. DOI: 10.1161/01.cir.67.5.962. View

19.

Brown S, Boshoff D, Eyskens B, Gewillig M . Hybrid approach as bridge to biventricular repair in a neonate with critical aortic stenosis and borderline left ventricle. Eur J Cardiothorac Surg. 2009; 35(6):1080-2. DOI: 10.1016/j.ejcts.2009.02.012. View

20.

Ing F, Grifka R, Nihill M, Mullins C . Repeat dilation of intravascular stents in congenital heart defects. Circulation. 1995; 92(4):893-7. DOI: 10.1161/01.cir.92.4.893. View