Single-ventricle physiology: perioperative implications.

  title={Single-ventricle physiology: perioperative implications.},
  author={Scott G. Walker and Eckehard Alfred Erwin Stuth},
  journal={Seminars in pediatric surgery},
  volume={13 3},
Neonates with functional single ventricles have pulmonary and systemic circulations that are supplied in parallel, creating significant cyanosis and ventricular volume overload. The goal of palliative surgery, excluding transplantation, is to convert single-ventricle circulation from a parallel to a series arrangement. This will ultimately require a complete cavopulmonary anastomosis (Fontan-type procedure) in which vena caval blood is rerouted directly into the pulmonary circulation. Various… CONTINUE READING