Jagannath Byalal Raghavendrarao
Department of Pediatric Cardiac Surgery, Star Hospital, Banjara Hills, Hyderabad, India.
Indian J Thorac Cardiovasc Surg. 2021 Jan;37(Suppl 1):111-122. doi: 10.1007/s12055-020-00995-0. Epub 2020 Oct 16.
When do we label a left ventricle as small? How is the decision made regarding suitability for a two-ventricle repair? Are dimensions the only criteria with which we decide, whether a ventricle will support the systemic circulation? Can we actually stimulate the growth of a borderline small left ventricle, so that it could support the systemic circulation in future? What role does mass and shape have to play in whether a borderline ventricle will support a biventricular repair? What role does the morphology and segmental anatomy play in this decision-making? This is a review article to address these issues.
我们何时将左心室判定为小?关于双心室修复的适用性是如何做出决策的?尺寸是我们决定一个心室是否能够支持体循环的唯一标准吗?我们真的能够刺激临界小左心室生长,使其在未来能够支持体循环吗?对于临界小心室是否支持双心室修复,心肌质量和形状起到什么作用?形态学和节段性解剖学在这一决策过程中扮演什么角色?这是一篇旨在探讨这些问题的综述文章。