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 Vol. 10 No. 5, May 2009
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NeoReviews Vol.10 No.5 2009 e239
© 2009 American Academy of Pediatrics

Parallel Circulations

Managing Single-ventricle Physiology

Christopher W. Mastropietro, MD*
Susan P. Tourner, MD{dagger}

* Assistant Professor of Critical Care, Wayne State University School of Medicine; Staff Intensivist, Carman and Ann Adams Department of Pediatrics, Division of Critical Care, Children's Hospital of Michigan, Detroit, Mich
{dagger} Staff Intensivist, Toledo Children's Hospital, Toledo, Ohio

Infants born with single-cardiac ventricle physiology frequently are treated preoperatively and postoperatively in neonatal intensive care units (NICUs), which requires neonatologists to be familiar with their unique anatomy, physiology, and consequent nonconventional principles of management. This case report reviews single-ventricle anatomy and physiology to explain appropriate interventions in the setting of cardiopulmonary arrest.

Abbreviations: NEC: necrotizing enterocolitis • NICU: neonatal intenstive care unit • PGE: prostaglandin E • PVR: pulmonary vascular resistance • SpO2: oxygen saturation as determined by pulse oximetry • SVR: systemic vascular resistance


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