title: Current management of infants and children with single ventricle anatomy.
abstract: Children with single ventricle anatomy are among the most complicated and challenging patients encountered in pediatric cardiology. Current management involves staged surgical procedures, beginning with neonatal palliation and followed by a bidirectional cavopulmonary anastomosis in infancy and culminating in the Fontan procedure. The Fontan procedure, despite separating the circulation, remains a palliative procedure with many long-term concerns. This report discusses the staged surgical management of patients with single ventricle anatomy and the nursing issues relevant to each stage.
authors.affiliation: Cardiovascular Program, Children's Hospital, Boston, MA 02115, USA. patricia.obrien@tch.harvard.edu
authors.forename: P
authors.initials: P
authors.lastname: O'Brien
authors.forename: J T
authors.initials: JT
authors.lastname: Boisvert
mesh_terms: D002648:Child; D002675:Child, Preschool; D000013:Congenital Abnormalities / Q000451:nursing / Q000503:physiopathology / Q000601:surgery; D018729:Fontan Procedure / Q000009:adverse effects / Q000379:methods* / Q000451:nursing*; D018610:Heart Bypass, Right / Q000009:adverse effects / Q000379:methods* / Q000451:nursing; D006352:Heart Ventricles / Q000002:abnormalities*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008134:Long-Term Care / Q000379:methods; D010166:Palliative Care / Q000379:methods*; D010290:Parents / Q000193:education / Q000523:psychology; D010371:Pediatric Nursing / Q000379:methods; D019990:Perioperative Care / Q000379:methods / Q000451:nursing; D011652:Pulmonary Circulation; D012944:Social Support