title: Biventricular repair after stage II univentricular surgery: palliation is not a one-way path.
abstract: Surgical decision in mild forms of hypoplastic left heart syndrome can be challenging. Once a univentricular pathway has been chosen, it can be difficult to reconsider a biventricular repair. A commitment to a palliative pathway is usually considered irreversible after initial univentricular repair. We present this case as an example in which the primary surgical palliation pathway was altered, and eventually a successful biventricular repair was performed in a mild variant of hypoplastic left heart syndrome, despite the fact that maneuvers to promote left ventricular growth were not recruited at the time of initial surgery.
authors.affiliation: Division of Pediatric Cardiology, Mayo Clinic, Rochester, Minnesota. Electronic address: qureshi.muhammad@mayo.edu.
authors.forename: Muhammad Yasir
authors.initials: MY
authors.lastname: Qureshi
authors.forename: Harold M
authors.initials: HM
authors.lastname: Burkhart
authors.forename: Donald J
authors.initials: DJ
authors.lastname: Hagler
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000601:surgery*; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000601:surgery*; D010166:Palliative Care / Q000379:methods
keywords: 21