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Right ventricular outflow tract anomalies: Neonatal interventions and outcomes
Affiliation:1. Division of Pediatric Cardiology, Department of Pediatrics, Stanford University School of Medicine;2. Heart Institute, UPMC Children''s Hospital of Pittsburgh, Department of Pediatrics, University of Pittsburgh School of Medicine;1. Department of Pediatrics, Children''s Mercy-Kansas City and the University of Missouri-Kansas City, 2401 Gillham Road, 3rd Floor Annex, Kansas City, MO;2. Department of Pediatrics, Women and Infants Hospital of Rhode Island and Brown University, Providence, RI;3. Division of Neonatology, University of Alabama at Birmingham, Birmingham, AL;4. Social, Statistical, and Environmental Sciences Unit, RTI International, Rockville, MD;5. Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD;6. Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA;1. University of Alabama at Birmingham, Birmingham, AL, USA;2. University of Colorado School of Medicine and Colorado School of Public Health, Aurora, CO, USA;3. Universidade Federal de São Paulo/Escola Paulista de Medicina, São Paulo, SP, Brazil;1. Pediatrics Resident, University of Texas Southwestern/ Children''s Health;2. Clinical Associate Professor, University of Michigan, Department of Pediatrics;1. Neonatal Intensive Care Nursery, John''s Hopkins Children''s Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States;2. Division of Pediatric Neurosurgery, Departments of Neurosurgery, Neurology and Pediatrics, Johns Hopkins University School of Medicine, Maryland, United States;3. Division of Neonatology, Departments of Pediatrics, Neurology and Neurosurgery, Johns Hopkins University School of Medicine, Maryland, United States;4. Kennedy Krieger Institute, Maryland, United States;1. Division of Neonatology, Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia PA USA;2. Section of Neonatal-Perinatal Medicine, Department of Pediatrics, The University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA;3. College of Medicine, University of Oklahoma, Oklahoma City, OK, USA
Abstract:Right ventricular outflow tract (RVOT) anomalies comprise a wide spectrum of congenital heart disease, typically characterized by obstruction to flow from the right ventricle to pulmonary arteries. This review highlights important considerations surrounding management strategy as well as clinical outcomes for the neonate with RVOT anomaly, including: pulmonary atresia with intact ventricular septum, congenital pulmonary valve stenosis, tetralogy of Fallot, and Ebstein anomaly with anatomic or physiologic RVOT obstruction.
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