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Biventricular Conversion in the Borderline Hypoplastic Heart

  • Congenital Heart Disease (RA Krasuski and G Fleming, Section Editors)
  • Published:
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Abstract

Purpose of Review

The development of biventricular repair and conversion pathways for patients with borderline hypoplastic heart disease represents an area of recent inquiry and innovation. This review summarizes emerging techniques and novel treatment algorithms for borderline hypoplastic heart disease with a focus on surgical advances within the last 10 years.

Recent Findings

Many patients with borderline hypoplastic heart disease are amenable to primary biventricular repair, or biventricular conversion following single-ventricle palliation coupled with ventricular rehabilitation strategies. New insights into the potential for growth and recovery of borderline ventricles have been uncovered. However, questions remain regarding optimal patient selection and the long-term outcomes of select patient groups treated with single-ventricle palliation versus biventricular repair/conversion or transplantation.

Summary

Efforts to direct a greater proportion of borderline hypoplastic heart patients towards a biventricular circulation are accelerating and represent important avenues for progress and future research in the field of congenital heart disease.

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Authors and Affiliations

  1. Division of Cardiovascular and Thoracic Surgery, Duke University Medical Center, 2301 Erwin Road, DUMC 3474, Durham, NC, 27710, USA

    Nicholas D. Andersen, Jacob C. Scherba & Joseph W. Turek

  2. Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA

    Nicholas D. Andersen, Jacob C. Scherba & Joseph W. Turek

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  1. Nicholas D. Andersen
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Correspondence to Nicholas D. Andersen.

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Andersen, N.D., Scherba, J.C. & Turek, J.W. Biventricular Conversion in the Borderline Hypoplastic Heart. Curr Cardiol Rep 22, 115 (2020). https://doi.org/10.1007/s11886-020-01363-5

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