MRCP UK EXAMINATIONS

CARDIOLOGY

PROSTHETIC HEART VALVES

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Survival of the HLHS patient has improved due to surgical procedures, such as ____
A
Bi-directional Glenn shunt procedure
B
Fontan procedure
C
Norwood procedure
D
all of the above
Explanation: 

Detailed explanation-1: -Hospital survival rates reported are 94% to 98% following the hemi-Fontan procedure and 86% to 94% following the Fontan procedure (2, 38–40).

Detailed explanation-2: -The series of three reconstructive operations to repair HLHS-the Norwood, Glenn and Fontan procedures-is known as “ Staged Reconstruction .” Frequent surveillance in infancy and early childhood is important to minimize risk factors for the eventual Fontan operation.

Detailed explanation-3: -Surgical Treatment Treatment for hypoplastic left heart syndrome requires either a three-step surgical procedure called staged palliation or a heart transplant. Staged palliation is considered one of the major achievements of congenital heart surgery in recent years.

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