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Hypoplastic Left Heart
Michael D. Puchalski, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Synonyms

            • Hypoplastic left ventricle
            • Hypoplastic left heart syndrome (HLHS)
          • Definitions

            • Hypoplasia of left ventricle associated with
              • Mitral stenosis/atresia
              • Aortic stenosis/atresia
              • Hypoplastic ascending aorta and coarctation

          IMAGING

          • General Features

            • Echocardiographic Findings

              • Ultrasonographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Karamlou T et al: Stage 1 hybrid palliation for hypoplastic left heart syndrome--assessment of contemporary patterns of use: an analysis of The Society of Thoracic Surgeons Congenital Heart Surgery Database. J Thorac Cardiovasc Surg. 149(1):195-201, 202.e1, 2015
                                    2. Wilder TJ et al: Survival and right ventricular performance for matched children after stage-1 Norwood: Modified Blalock-Taussig shunt versus right-ventricle-to-pulmonary-artery conduit. J Thorac Cardiovasc Surg. 150(6):1440-50, 2015
                                    3. Barron DJ et al: Hypoplastic left heart syndrome. Lancet. 374(9689):551-64, 2009
                                    4. Karamlou T et al: Evolution of treatment options and outcomes for hypoplastic left heart syndrome over an 18-year period. J Thorac Cardiovasc Surg. Epub ahead of print, 2009
                                    5. McElhinney DB et al: Predictors of technical success and postnatal biventricular outcome after in utero aortic valvuloplasty for aortic stenosis with evolving hypoplastic left heart syndrome. Circulation. 120(15):1482-90, 2009
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Clinical Issues

                                          • Diagnostic Checklist

                                            TERMINOLOGY

                                            • Synonyms

                                              • Hypoplastic left ventricle
                                              • Hypoplastic left heart syndrome (HLHS)
                                            • Definitions

                                              • Hypoplasia of left ventricle associated with
                                                • Mitral stenosis/atresia
                                                • Aortic stenosis/atresia
                                                • Hypoplastic ascending aorta and coarctation

                                            IMAGING

                                            • General Features

                                              • Echocardiographic Findings

                                                • Ultrasonographic Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Gross Pathologic & Surgical Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Karamlou T et al: Stage 1 hybrid palliation for hypoplastic left heart syndrome--assessment of contemporary patterns of use: an analysis of The Society of Thoracic Surgeons Congenital Heart Surgery Database. J Thorac Cardiovasc Surg. 149(1):195-201, 202.e1, 2015
                                                                      2. Wilder TJ et al: Survival and right ventricular performance for matched children after stage-1 Norwood: Modified Blalock-Taussig shunt versus right-ventricle-to-pulmonary-artery conduit. J Thorac Cardiovasc Surg. 150(6):1440-50, 2015
                                                                      3. Barron DJ et al: Hypoplastic left heart syndrome. Lancet. 374(9689):551-64, 2009
                                                                      4. Karamlou T et al: Evolution of treatment options and outcomes for hypoplastic left heart syndrome over an 18-year period. J Thorac Cardiovasc Surg. Epub ahead of print, 2009
                                                                      5. McElhinney DB et al: Predictors of technical success and postnatal biventricular outcome after in utero aortic valvuloplasty for aortic stenosis with evolving hypoplastic left heart syndrome. Circulation. 120(15):1482-90, 2009