In‐utero intervention for hypoplastic left heart syndrome — a perinatologist's perspective

Abstract

.Today,whenHLHSisdiagnosedinthenewborn,or suspected by prenatal ultrasound studies, surgicalinterventions typically take one of two directions – eitherthe multistaged reconstruction pioneered by Norwood toenable single ventricle survival or cardiac transplantation.Compassionate care, although increasingly controversial,remains an option in some centers. Although increasingsurvival rates following both multi-staged surgery ortransplant are being reported, the nature of theseinterventions is such that these children remain at lifelongrisk for cardiac and neurologic morbidity.Consideration of HLHS as a candidate for