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Borderline Ventricles: From Evaluation to Treatment

Mazza, Giuseppe Antonio; Oreto, Lilia; Tuo, Giulia; Sirico, Domenico; Moscatelli, Sara; Meliota, Giovanni; Micari, Antonio; ... Favilli, Silvia; + view all (2024) Borderline Ventricles: From Evaluation to Treatment. Diagnostics , 14 (8) , Article 823. 10.3390/diagnostics14080823. Green open access

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Abstract

A heart with a borderline ventricle refers to a situation where there is uncertainty about whether the left or right underdeveloped ventricle can effectively support the systemic or pulmonary circulation with appropriate filling pressures and sufficient physiological reserve. Pediatric cardiologists often deal with congenital heart diseases (CHDs) associated with various degrees of hypoplasia of the left or right ventricles. To date, no specific guidelines exist, and surgical management may be extremely variable in different centers and sometimes even in the same center at different times. Thus, the choice between the single-ventricle or biventricular approach is always controversial. The aim of this review is to better define when “small is too small and large is large enough” in order to help clinicians make the decision that could potentially affect the patient’s entire life.

Type: Article
Title: Borderline Ventricles: From Evaluation to Treatment
Open access status: An open access version is available from UCL Discovery
DOI: 10.3390/diagnostics14080823
Publisher version: http://dx.doi.org/10.3390/diagnostics14080823
Language: English
Additional information: This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third-party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
Keywords: Borderline left ventricle; borderline right ventricle; univentricular heart; one and half ventricle; CHD
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10191749
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