The hypoplastic left-heart syndrome is a complex congenitalcardiac malformation1,2,3 that accounts for 7 to 8 percent ofall cardiac lesions presenting in the first year of life; inaddition, it is known to be the most common cause of death dueto cardiac causes during the first week of life3,4,5. The prognosishas changed substantially since the development of the Norwoodprocedure in 19803,6,7,8,9,10,11 and the introduction of neonatalheart transplantation in 19853,12,13,14. When transplantationis considered, however, patency of the ductus arteriosus mustbe maintained until a suitable donor organ can be found. Althoughalprostadil (prostaglandin . . . [Full Text of this Article]
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From the Section of Pediatric Cardiology, Rm. 4433, Loma Linda University Medical Center, 11234 Anderson St., P.O. Box 2000, Loma Linda, CA 92354-0200, where reprint requests should be addressed to Dr. Ruiz.
References
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