CARDIOVASCULAR ENGINEERING Journal for Extracorporeal Circulation, Assist Devices,Transplantation and Artificial Organs
	Volume 2, 1997, No 2

Determinations for Survival in Palliation and Neonatal Repair of Congenital Cardiac Lesions

K. Turley

Abstract:
Determinants for survival and palliation in neonatal repair of congenital cardiac lesions have changed significantly in the past 15 years. This reflects both improvement in the technology which has addressed the determinants themselves, and more importantly, a change in philosophy, placing patients with appropriate anatomy into the neonatal repair group and designing radical palliations for those in whom anatomic and physiologic criteria place them at prohibitive risk. The single anatomic factor, pulmonary venous size, and physiologic factors, such as cardiac dysfunction and increased pulmonary vascular resistance remain significant determinants of both neonatal repair and radical palliation. While many prior determinants such as aortic size, pulmonary arterial size, right ventricular, tricuspid, and mitral size, and ventricular volume, can be either augmented or bypassed through radical palliation, a philosophical change which has altered our approach both to neonatal repair and palliative procedures.

Keywords:
Neonatal repair of congenital cardiac lesions

Address for Correspondence:

Reference:
(CVE. 1997; 2 (2): 127-129)

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