Heart Defects, Congenital, Hypoplastic Left Heart Syndrome
Conditions
Brief summary
This project will evaluate fluid balance and edema formation in children with congenital heart disease in need of a surgical procedure, The Fontan procedure. Surgery will make the child end up with a univentricular heart with one-chamber circulation ( Fontan circulation). This project will evaluate if these children has increased micro vascular leakage before surgery due to their congenital heart defect. The project will also investigate if the edema formation seen during cardiac surgery with the use of Cardio-Pulmonary Bypass (CPB) and hypothermia is caused by capillary leakage of plasma protein. The study hypothesis are 1. Edema developed during heart surgery is caused by reduced colloid osmotic pressure gradient through the capillary membrane. 2. The degree of micro vascular leakage in open-heart surgery is related to duration of CPB and hypothermia. 3. Fontan circulation cause peripheral edema related to elevated central venous pressure and is not caused by increased micro vascular leakage of plasma proteins.
Interventions
Routine catheterization before surgical procedure Bidirectional CavoPulmonary Connection
Routine catheterization before surgical procedure Total CavoPulmonary Connection
Surgical procedure Bidirectional CavoPulmonary Connection
Surgical procedure Total CavoPulmonary Connection
Sponsors
Study design
Eligibility
Inclusion criteria
Diagnosis of Congenital heart defect in need of Fontan procedure -
Exclusion criteria
No parental consent \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Interstitial colloid osmotic pressure | Before and after surgery or catheterization | Change in interstitial colloid osmotic pressure |
Countries
Norway