{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T11:34:23Z","timestamp":1774611263708,"version":"3.50.1"},"reference-count":41,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T00:00:00Z","timestamp":1719187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Borderline left ventricle cases present considerable difficulties in determining the most effective surgical approaches. The evolution of approaches in the field has shifted from classical systemic pulmonary shunts to orthodox univentricular palliation and has subsequently seen the emergence of biventricular repair concepts. The concept of biventricular repair for borderline left heart conditions has developed through studies that aim to establish predictive scoring systems for identifying appropriate candidates. Despite continuous efforts, a definitive scoring system for guiding this decision is still difficult to find. There is a growing trend to provide neonatal patients with borderline ventricles with options other than univentricular palliation. Several centres have developed personalized strategies, including hybrid and staged ventricular recruitment approaches. These strategies provide sufficient time for personalized decision-making, taking into account the individual circumstances of each patient. This article presents an overview of the changing approaches to borderline left ventricular cases. It discusses the use of predictive scoring systems and emphasizes the advancements in staged strategies that improve the likelihood of successful biventricular repairs.<\/jats:p>","DOI":"10.1093\/ejcts\/ezae247","type":"journal-article","created":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T18:51:37Z","timestamp":1719255097000},"source":"Crossref","is-referenced-by-count":4,"title":["Contemporary management of borderline left ventricle"],"prefix":"10.1093","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0359-7765","authenticated-orcid":false,"given":"Ergida","family":"Albrahimi","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, \u0130stanbul University Cerrahpasa, Cerrahpasa Medical Hospital , Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5776-6993","authenticated-orcid":false,"given":"Oktay","family":"Korun","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, \u0130stanbul University Cerrahpasa, Cerrahpasa Medical Hospital , Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,6,24]]},"reference":[{"key":"2024072506111144400_ezae247-B1","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.ejcts.2004.10.034","article-title":"Borderline left ventricle","volume":"27","author":"Corno","year":"2005","journal-title":"Eur J Cardiothorac Surg"},{"key":"2024072506111144400_ezae247-B2","doi-asserted-by":"crossref","first-page":"1508","DOI":"10.1136\/heartjnl-2017-312807","article-title":"Late outcomes after the Fontan procedure in patients with single ventricle: a meta-analysis","volume":"104","author":"Schwartz","year":"2018","journal-title":"Heart"},{"key":"2024072506111144400_ezae247-B3","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1053\/j.pcsu.2022.02.001","article-title":"Integrating novel physiologic data into decision-making in congenital heart surgery","volume":"25","author":"Honjo","year":"2022","journal-title":"Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu"},{"key":"2024072506111144400_ezae247-B4","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1097\/HCO.0000000000000466","article-title":"Assessing the borderline ventricle in a term infant: combining imaging and physiology to establish the right course","volume":"33","author":"Cohen","year":"2018","journal-title":"Curr Opin Cardiol"},{"key":"2024072506111144400_ezae247-B5","doi-asserted-by":"crossref","first-page":"2325","DOI":"10.1161\/01.CIR.84.6.2325","article-title":"Predictors of survival in neonates with critical aortic stenosis","volume":"84","author":"Rhodes","year":"1991","journal-title":"Circulation"},{"key":"2024072506111144400_ezae247-B6","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1067\/mtc.2001.111207","article-title":"Critical aortic stenosis in the neonate: a multi-institutional study of management, outcomes, and risk factors. 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