Document Detail

Comparison of right ventricle to pulmonary artery conduit and modified Blalock-Taussig shunt hemodynamics after the Norwood operation.
MedLine Citation:
PMID:  15337062     Owner:  NLM     Status:  MEDLINE    
The Norwood procedure remains one of the highest-risk operations in congenital heart surgery. A significant contributor to this risk is thought to be the diastolic run-off into the modified Blalock-Taussig shunt (MBTS). In an effort to eliminate this risk, several groups have begun to utilize a right ventricle to pulmonary artery conduit (RVPAC), which decreases this diastolic "steal" of coronary blood flow. Whereas initial results with the RVPAC are encouraging, the postulated hemodynamic advantages are unproven. This case illustrates the positive hemodynamic changes by echocardiography after the replacement of a MBTS with a RVPAC in a patient after a Norwood procedure.
Richard G Ohye; Achiau Ludomirsky; Eric J Devaney; Edward L Bove
Publication Detail:
Type:  Case Reports; Comparative Study; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  78     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-08-31     Completed Date:  2005-07-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1090-3     Citation Subset:  AIM; IM    
Department of Surgery, Section of Cardiac Surgery, Ann Arbor, Michigan, USA.
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MeSH Terms
Anastomosis, Surgical / methods
Aortic Valve / abnormalities
Cardiac Surgical Procedures*
Carotid Arteries / surgery
Heart Ventricles / surgery*
Hypoplastic Left Heart Syndrome / surgery*
Infant, Newborn
Mitral Valve / abnormalities
Pulmonary Artery / surgery*
Subclavian Artery / abnormalities

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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