Testa L, Tobias J D, Kavanaugh-McHugh A
Department of Anesthesiology, Wake Forest University, Winston-Salem, NC.
J Clin Anesth. 1994 Nov-Dec;6(6):500-4. doi: 10.1016/0952-8180(94)90092-2.
Hypoplastic left heart syndrome is the most common lethal cardiac defect in neonates. Options for treatment include cardiac transplantation and surgical palliation. When cardiac transplantation is chosen as the preferred option, a considerable delay may occur until a suitable donor is available. During this time, anesthetic care may be required for various surgical procedures. Associated anomalies seen in these infants and the anesthetic implications imposed by the abnormal cardiac anatomy are discussed.
左心发育不全综合征是新生儿中最常见的致死性心脏缺陷。治疗方案包括心脏移植和手术姑息治疗。当选择心脏移植作为首选方案时，在获得合适的供体之前可能会出现相当长的延迟。在此期间，可能需要对各种外科手术进行麻醉护理。本文讨论了这些婴儿中出现的相关异常以及异常心脏解剖结构所带来的麻醉影响。
