Double-inlet left ventricle repair
Double-inlet left ventricle (DILV) is a very rare congenital (present at birth) heart defect in which a child’s heart has an intact left ventricle pumping chamber and a small right ventricle. Both of the upper chambers of the heart, the right and left atria, empty into the left ventricle. Cardiothoracic surgeons typically classify double-inlet left ventricle as a type of single ventricle defect, and treat the defect with several surgeries over the course of many years.
Children with this heart defect may have other heart issues as well, such as:
- Coarctation of the aorta
- Pulmonary atresia
- Pulmonary valve stenosis
The complex surgeries used to fix double-inlet left ventricle require experience, skill and training. Norton Children’s Heart Institute has pediatric subspecialists with the experience to map out a detailed plan to treat children with this type of congenital heart disease.
The Society of Thoracic Surgeons has ranked Norton Children’s Heart Institute’s pediatric heart care among the best in the region. With our network of remote diagnostic and treatment services in Kentucky and Southern Indiana, your child can stay close to home for quality care.
Norton Children’s Heart Institute, affiliated with the University of Louisville, is the leading provider of pediatric heart care in Louisville and Southern Indiana.
What happens in a double-inlet left ventricle repair?
Your child will need a number of surgeries to improve blood circulation throughout the body and into the lungs. Each surgery will depend on your child’s current health, size and any other issues he or she has.
The series of surgeries to repair double-inlet left ventricle includes:
- Blalock-Taussig shunt: Heart specialists will perform this procedure in the first week or two of life. The shunt is a small tube used to create an alternative route of blood flow to the lungs. This allows for a consistent blood supply to the lungs. In addition, the added flow to the pulmonary arteries enhances the growth of these blood vessels and prepares them for operations that will be done later.
- Pulmonary artery band: If a child has too much blood flow to the lungs, banding of the pulmonary arteries can precisely limit the amount of blood flow going to the lungs. This prevents the pulmonary blood vessels from being damaged.
- Glenn procedure: This surgery detours blood from the upper body to the pulmonary artery directly. This also will decrease the workload that the single ventricle is performing. Cardiothoracic surgeons perform this surgery when a child is around 4 to 6 months old.
- Fontan procedure: This is the final surgery to repair a complex single ventricle. Cardiothoracic surgeons connect the pulmonary artery and the inferior vena cava, effectively separating the body’s two circulations. Now, the patient’s single ventricle will pump blood to the body and blood will passively return to the lungs without the use of a “right-sided” ventricle.
A child who has a double-inlet left ventricle repair will need lifelong care with a cardiologist to look for any complications and issues that may show up as the child grows.
Why choose Norton Children’s Heart Institute
No other congenital heart surgery program in Kentucky, Ohio or Southern Indiana is ranked higher by the Society of Thoracic Surgeons than the Norton Children’s Pediatric Cardiothoracic Surgery Program.
- Norton Children’s Hospital has been a pioneer in pediatric cardiothoracic surgery, performing Kentucky’s first pediatric heart transplant in 1986 and becoming the second site in the United States to perform an infant heart transplant.
- Our board-certified and fellowship-trained pediatric cardiovascular surgeons are leaders in the field as clinicians and researchers.
- More than 5,000 children a year visit Norton Children’s Heart Institute, affiliated with the University of Louisville, for advanced heart care.
- Norton Children’s Heart Institute successfully performs more than 17,500 procedures a year.
- The Society of Thoracic Surgeons ranked Norton Children’s Heart Institute among the best in the region after studying years of our patients’ outcomes and our ability to handle a range of pediatric heart conditions, including the most severe.
- Norton Children’s Heart Institute has satellite outpatient centers in Bowling Green, Frankfort, Owensboro and Paducah; 28 tele-echocardiography locations in Kentucky and Southern Indiana; and six fetal echocardiography locations across Kentucky.
- The American Board of Thoracic Surgery has certified the cardiothoracic surgeons at Norton Children’s Hospital with subspecialty certification in congenital heart surgery.
- The Jennifer Lawrence Cardiac Intensive Care Unit is under construction to give our patients the most advanced cardiac intensive care unit available.
- Our multidisciplinary approach to pediatric heart surgery brings together our specialists in cardiothoracic surgery, cardiology, anesthesiology, cardiac critical care and other areas to create a complete care plan tailored for your child.
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