Document Detail


Right ventricle-pulmonary artery shunt in first-stage palliation of hypoplastic left heart syndrome.
MedLine Citation:
PMID:  15283349     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article reviews our experience using a prosthetic conduit between the right ventricle (RV) and the pulmonary artery (PA), in lieu of the more traditional aortopulmonary shunt, for infants undergoing surgical palliation of hypoplastic left heart syndrome. Thirty-three consecutive infants underwent Norwood procedure between February 1998 and November 2003, using an RV-PA conduit. There were 31 hospital survivors (94%) and 25 patients have undergone a stage II bidirectional Glenn anastomosis with an additional two deaths. Nine patients have undergone completion Fontan. This technique provides reproducible results, simplifies postoperative management, and improves outcome, especially for "low volume" programs.
Authors:
Shunji Sano; Kozo Ishino; Masaaki Kawada; Osami Honjo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual     Volume:  7     ISSN:  1092-9126     ISO Abbreviation:  Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu     Publication Date:  2004  
Date Detail:
Created Date:  2004-07-30     Completed Date:  2004-09-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9815944     Medline TA:  Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu     Country:  United States    
Other Details:
Languages:  eng     Pagination:  22-31     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical
Cardiac Surgical Procedures / methods*
Female
Heart Ventricles / surgery
Humans
Hypoplastic Left Heart Syndrome / surgery*
Infant
Infant, Newborn
Male
Palliative Care*
Pulmonary Artery / surgery
Retrospective Studies
Treatment Outcome

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


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