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Nutrition in Clinical Practice
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Nutrition After Surgery for Hypoplastic Left-Heart Syndrome

Francy Pillo-Blocka, RD

The Hospital for Sick Children, Divisions of Cardiology and Cardiovascular Surgery, University of Toronto, Ontario, Canada

Cheryl Miles, RD

The Hospital for Sick Children, Divisions of Cardiology and Cardiovascular Surgery, University of Toronto, Ontario, Canada

Maurice Beghetti, MD

The Hospital for Sick Children, Divisions of Cardiology and Cardiovascular Surgery, University of Toronto, Ontario, Canada

Ivan Rebeyka, MD

The Hospital for Sick Children, Divisions of Cardiology and Cardiovascular Surgery, University of Toronto, Ontario, Canada

Robert M. Freedom, MD

The Hospital for Sick Children, Divisions of Cardiology and Cardiovascular Surgery, University of Toronto, Ontario, Canada

Brian W. McCrindle, MD, MPH

The Hospital for Sick Children, Divisions of Cardiology and Cardiovascular Surgery, University of Toronto, Ontario, Canada

Medical management and care of infants with hypoplastic left-heart syndrome (HLHS) after a stage I Norwood procedure is intensive and complex. However, failure to thrive is common and increases the length of hospital stay. To evaluate feeding practices of patients with HLHS for factors affecting nutrition, growth, morbidity, and mortality, we undertook a review of 28 infants who survived at least 10 days after a stage I Norwood procedure over a 43-month period at our pediatric hospital. It took a median 11 days (range, 1 to 23 days) to reach a maximum feeding of 3800 to 4600 kJ/L (800 to 1100 kcal/L); 32% of patients never achieved normal energy requirements in the hospital. Eleven of 19 hospital survivors had not achieved their birth weight by discharge; only 3 achieved average weight gains >20 g/d over 5 days. Rapid advancement of feedings is recommended during the complicated hospitalization of these patients to promote optimal nutritional status.

Nutrition in Clinical Practice, Vol. 13, No. 2, 81-83 (1998)
DOI: 10.1177/088453369801300207
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