title: Longer-term issues for young adults with hypoplastic left heart syndrome: contraception, pregnancy, transition, transfer, counselling, and re-operation.
abstract: Hypoplastic left heart syndrome remained a largely untreated lesion until the 1980s. In the current era, 75-80% of patients who are managed at "centres of excellence" can be expected to survive into young adulthood after staged palliation. This improved survival has led to an emerging population of patients now entering adulthood with a new set of concerns. We discuss the realised and potential issues that will be faced by these patients, including family planning, transition, and re-operation.
authors.affiliation: Department of Cardiac Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
authors.forename: Sameh M
authors.initials: SM
authors.lastname: Said
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Dearani
authors.forename: Candice K
authors.initials: CK
authors.lastname: Silversides
authors.forename: Richard M
authors.initials: RM
authors.lastname: Martinez
authors.forename: David B
authors.initials: DB
authors.lastname: Drajpuch
mesh_terms: D006348:Cardiac Surgical Procedures; D003267:Contraception / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000628:therapy*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000628:therapy*; D011379:Prognosis; D012086:Reoperation; D012731:Sex Counseling / Q000379:methods*; D013997:Time Factors; D055815:Young Adult