Stabilization of cardiac and pulmonary function and ensure adequate systemic oxygenation
Prostaglandin E1
Provide sufficient intercirculatory mixing between the two parallel circulations by maintaining patency of the ductus<unk> us
Start infusion at 0.05 mcg/kg/min IV and titrate up to 0.1 mcg/kg/min, monitoring for hypotension (and apnea)
Maintains the ductus (which completely seals by ~3 wks)
Side Effects: Hypotension, Bradycardia, Seizures and Apnea
Balloon atrial septostomy
Performed to stabilize patients with severe hypoxemia due to inadequate mixing between the two parallel circuits
Balloon is placed across the atrial septum into the left atrium, inflated and then pulled vigorously back across the septum to produce an ASD
Surgery, Arterial switch operation
In rare instances, atrial switch operation when coronary artery anatomy makes arterial switch infeasible
Typically performed within the first two weeks of life
Most will die within the first year of life without<unk> ment
Provide sufficient intercirculatory mixing between the two parallel circulations by maintaining patency of the ductus<unk> us
Start infusion at 0.05 mcg/kg/min IV and titrate up to 0.1 mcg/kg/min, monitoring for hypotension (and apnea)
Maintains the ductus (which completely seals by ~3 wks)
Side Effects: Hypotension, Bradycardia, Seizures and Apnea
Performed to stabilize patients with severe hypoxemia due to inadequate mixing between the two parallel circuits
Balloon is placed across the atrial septum into the left atrium, inflated and then pulled vigorously back across the septum to produce an ASD
In rare instances, atrial switch operation when coronary artery anatomy makes arterial switch infeasible
Typically performed within the first two weeks of life
Transposition of the great arteries
Cyanotic
Total anomalous pulmonary venous return
Tetralogy of fallot
Tetralogy of Fallot
Ebstein anomaly
Tricuspid atresia
Hypoplastic left heart syndrome