Assessment and management of neonates with unrepaired congenital heart disease

被引:1
作者
Kohbodi, GoleNaz Adeli [1 ]
Ashrafi, Amir H. [2 ]
Levy, Victor Y. [3 ]
机构
[1] Univ Calif Irvine, Orange, CA 92868 USA
[2] Children Hosp Orange Cty, Orange, CA USA
[3] Logan Hlth Childrens Hosp, Kalispell, MT USA
关键词
congenital heart disease; neonatal hemodynamics; PULMONARY-ATRESIA; INFANTS; ECHOCARDIOGRAPHY; TRANSPOSITION; CHILDREN; SUPPORT;
D O I
10.1097/HCO.0000000000001054
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of reviewTo review preoperative assessment and management of neonates with congenital heart disease (CHD).Recent findingsThe spectrum for neonates with CHD can be wide and complex. An in-depth understanding of their physiology is the first step in assessing their hemodynamics and developing an effective therapeutic strategy.There is significant heterogeneity in the anatomy and physiology in newborns with CHD. Their complex pathophysiology can be simplified into seven basic subtypes, which include systolic dysfunction, diastolic dysfunction, excessive pulmonary blood flow, obstructed pulmonary blood flow, obstructed systemic blood flow, transposition physiology, and single ventricle physiology. It is important to note these physiologies are not mutually exclusive, and this review summarizes the hemodynamic and therapeutic strategies available for the preoperative neonate with CHD.
引用
收藏
页码:385 / 389
页数:5
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