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Heart 2008;94:1374-1375; doi:10.1136/hrt.2007.138412
Copyright © 2008 BMJ Publishing Group Ltd & British Cardiovascular Society

EDITORIALS

Fetal pulmonary venous Doppler flow patterns in hypoplastic left heart syndrome

Nicky Manning, Nick Archer

Department of Fetal and Paediatric Cardiology, Children’s Hospital, Oxford OX3 9DU, UK

Correspondence to:
Nicky Manning, Department of Fetal and Paediatric Cardiology, Children’s Hospital, Oxford OX3 9DU, UK; nicky.manning@orh.nhs.uk

The first 150 words of the full text of this article appear below.

Survival after stage 1 of palliative surgery for hypoplastic left heart syndrome (HLHS) was first reported by Norwood in 1983; since then there have been numerous modifications to all aspects of the management of these infants resulting in significant improvement in survival. However, for the subgroup of infants presenting with a closed or severely restrictive foramen ovale (FO) morbidity and mortality remain high. The majority of infants with HLHS are now diagnosed in utero; identification of this subgroup prenatally is important in terms of both parental counselling and management of pregnancy, delivery and the early neonatal period. A restrictive FO is one of the most critical risk factors in determining outcome both before and after surgery, for palliation as well as for transplantation.1

In the majority of cases of HLHS the FO is patent but in up to 22% it is restrictive and in 6% the atrial septum is intact;2 . . . [Full text of this article]


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Fetal pulmonary venous Doppler patterns in hypoplastic left heart syndrome: relationship to atrial septal restriction
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