Document Detail

Right ventricle to pulmonary artery shunt modification of the Norwood procedure.
MedLine Citation:
PMID:  20450301     Owner:  NLM     Status:  MEDLINE    
Over the last quarter of a century, improvements in antenatal diagnosis, preoperative care, neonatal surgical techniques, arch reconstruction, cardiopulmonary bypass strategies, catheter-based interventions and postoperative care have all resulted in dramatic improvements in the outcomes of the Norwood procedure for palliation of hypoplastic left heart syndrome. One such modification of the Norwood procedure, consisting of a right ventricle to pulmonary artery conduit to supply pulmonary blood flow instead of the modified Blalock-Taussig shunt, has been reported by various institutions to contribute to these improved outcomes. This article evaluates the current status of right ventricle to pulmonary artery shunt modification of the Norwood procedure with special emphasis on its impact on early and interstage outcomes, as well as real and potential drawbacks of this modification.
Shahzad G Raja
Publication Detail:
Type:  Historical Article; Journal Article; Review    
Journal Detail:
Title:  Expert review of cardiovascular therapy     Volume:  8     ISSN:  1744-8344     ISO Abbreviation:  Expert Rev Cardiovasc Ther     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-10     Completed Date:  2010-08-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101182328     Medline TA:  Expert Rev Cardiovasc Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  675-84     Citation Subset:  IM    
Department of Paediatric Cardiothoracic Surgery, Great Ormond Street Hospital, London, WC1N 3JH, UK.
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MeSH Terms
Heart Ventricles / physiopathology,  surgery*
History, 20th Century
History, 21st Century
Hypoplastic Left Heart Syndrome / history*,  mortality,  physiopathology,  surgery*
Infant, Newborn
Pulmonary Artery / physiopathology,  surgery*

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