Optimal Initial Palliation for Patients With Functionally Univentricular Hearts

Carl L Backer*, Hyde M. Russell, Barbara Deal

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


This review will outline the optimal, initial palliation for children who are born with a functionally univentricular heart. Optimizing the initial palliation is of critical importance in this patient population to prevent potential problems such as systemic outflow and pulmonary vein obstruction that may complicate further surgical intervention. The palliative techniques that are discussed include pulmonary artery banding, modified Blalock-Taussig shunt, Damus-Kaye-Stansel procedure, modified Norwood, hybrid, and early bidirectional Glenn. Our recommendations for optimal palliation for children with a univentricular heart are based on our experience with nearly 200 patients who had either a lateral tunnel or extracardiac Fontan procedure and 130 patients who had Fontan conversion with arrhythmia surgery.

Original languageEnglish (US)
Pages (from-to)165-170
Number of pages6
JournalWorld Journal for Pediatric and Congenital Heart Surgery
Issue number2
StatePublished - Jan 1 2012


  • Fontan
  • congenital heart disease
  • functionally univentricular heart
  • palliation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Medicine(all)
  • Cardiology and Cardiovascular Medicine


Dive into the research topics of 'Optimal Initial Palliation for Patients With Functionally Univentricular Hearts'. Together they form a unique fingerprint.

Cite this