Neonatal congenital heart disease and "complex" heart failure.

A. Berman, Theresa Roca, P. Uber, M. Mehra
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Abstract

Hypoplastic left heart syndrome is a complex conglomerate of congenital cardiac abnormalities encountered in early life. Heart failure compensation and survival are intricately dependent on maintenance of ductal patency and avoidance of hyperoxic ventilation. While medical therapy is woefully inadequate, the staged Norwood procedure or cardiac transplantation remain the better options for treatment. Critically dependent on surgical outcomes, 5-year survival appears better with cardiac transplantation.
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新生儿先天性心脏病和“复杂”心力衰竭。
左心发育不全综合征是一种复杂的先天性心脏畸形,发生在生命早期。心力衰竭的补偿和生存复杂地依赖于维持导管通畅和避免高氧通气。虽然药物治疗严重不足,但分阶段诺伍德手术或心脏移植仍然是更好的治疗选择。严重依赖于手术结果,心脏移植的5年生存率似乎更好。
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