HLHS: first operative hurdle is the worst. (From BMJ Journals).(hypoplastic left heart syndrome)(British Medical Journal)(Brief Article)

Medium term outlook is good for babies surviving stage I reconstructive surgery for antenatally diagnosed hypoplastic left heart syndrome (HLHS). Reconstructive palliative surgery has greatly improved the outlook for this condition and makes antenatal diagnosis even more important to help parents make informed decisions based on up to date results.

Andrews et al report outcome data for antenatally diagnosed classic HLHS in the largest series so far--174 babies from Guy's Hospital, London, five from other units, (and nine postnatal diagnoses). Of these, 64 babies underwent stage I of a three stage surgical palliation, which ultimately directs systemic venous return …