Key result
This review outlines management strategies for borderline left heart, including single ventricle, biventricular repair, and left heart recruitment based on structural size, function, and hemodynamics.
Why the study?
Management of borderline left heart can involve single ventricle or biventricular repair, and left heart recruitment strategies have recently emerged as alternatives to Fontan circulation.
This review outlines strategies for managing borderline left heart, including left heart recruitment and alternatives to Fontan circulation based on structural size, function, and hemodynamics.
May inform borderline left heart decisions; leaves open prospective validation of recruitment strategies.
Management of borderline left heart can be divided into single ventricle and biventricular repair strategies. Recently, the strategy of left heart recruitment has been applied to select patients. Left heart recruitment strategies and alternatives to Fontan circulation are reviewed. The criteria utilized for decision-making include size and function of left heart structures as well as hemodynamics measured by cardiac catheterization.
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Sitaram M. Emani (2022) conducted a review in Borderline left heart. Management strategies (single ventricle, biventricular repair, left heart recruitment) was evaluated. This review outlines management strategies for borderline left heart, including single ventricle, biventricular repair, and left heart recruitment based on structural size, function, and hemodynamics.
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