Document Detail


Hybrid Stage I Palliation in a 1.1 kg, 28-Week Preterm Neonate With Posterior Malalignment Ventricular Septal Defect, Left Ventricular Outflow Tract Obstruction, and Coarctation of the Aorta.
MedLine Citation:
PMID:  25324263     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The hybrid stage I procedure has emerged as a less-invasive alternative to the standard surgical Norwood procedure in the palliation of high-risk hypoplastic left heart syndrome and variants. This approach may also benefit patients requiring complex neonatal repair who have significant anatomic and/or perioperative risk factors that either prevent or complicate durable and robust biventricular circulation from being safely achieved. An extremely low-birth weight (1.1 kg) 28-week gestation preterm neonate with postnatal diagnosis of posterior malalignment ventricular septal defect, severe left ventricular outflow tract obstruction, aortic annular hypoplasia, and aortic arch obstruction underwent initial palliation with a hybrid stage I procedure. In this case, hybrid stage I palliation allowed for both somatic and left heart growth followed by ultimate uncomplicated biventricular repair.
Authors:
Kunal B Karani; Farhan Zafar; David L S Morales; Bryan H Goldstein
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal for pediatric & congenital heart surgery     Volume:  5     ISSN:  2150-136X     ISO Abbreviation:  World J Pediatr Congenit Heart Surg     Publication Date:  2014 Oct 
Date Detail:
Created Date:  2014-10-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101518415     Medline TA:  World J Pediatr Congenit Heart Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  603-7     Citation Subset:  IM    
Copyright Information:
© The Author(s) 2014.
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