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Hypoplastic left heart syndrome (HLHS) describes a spectrum of left heart hypoplasias, which leave the left ventricle unable to support the systemic circulation. Staged palliation consists of aortic reconstruction and systemic to pulmonary artery shunt in the neonatal period (stage I), followed at intervals by superior (Stage II) and then total cavopulmonary connection (Stage III). The initial operation results in a volume loaded systemic right ventricle (RV) which is reduced after Stage II. In our institution children are assessed prior to Stage II and Stage III with a cardiac magnetic resonance imaging (MRI) scan

Global improvement in right ventricular function after Stage II Norwood operation in children with hypoplastic left heart assessed by serial MRI