| The bilateral pulmonary artery banding for hypoplastic left heart syndrome with a diminutive ascending aorta. | |
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MedLine Citation:
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PMID: 19126552 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A one-day-old neonate who was diagnosed with hypoplastic left heart syndrome (HLHS), aortic atresia, with a diminutive ascending aorta, and mitral atresia, was referred to us for cardiogenic shock because of excessive pulmonary blood flow. The patient underwent bilateral pulmonary artery banding (bPAB). After bPAB, the patient's hemodynamics were still unstable because of coronary malperfusion, to proceed to undergo Norwood procedure at the age of 3 days. In this case, the stenosis of the ascending aorta, just proximal to the innominate artery caused coronary ischemia. The precise evaluation of the ascending aorta is necessary to perform the bPAB for HLHS with diminutive ascending aorta. If there is a sign of stenosis of the ascending aorta, the Norwood procedure should be performed as the first stage palliation, even for high-risk HLHS patients. |
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Authors:
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Takahiro Tomoyasu; Kagami Miyaji; Takashi Miyamoto; Nobuyuki Inoue |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-01-06 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 8 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-03-23 Completed Date: 2009-06-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 479-81 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, Kitasato University School of Medicine, Sagamihara, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abnormalities, Multiple
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physiopathology,
surgery*,
ultrasonography Aorta / abnormalities, physiopathology, surgery*, ultrasonography Aortic Valve / abnormalities Cardiac Surgical Procedures* Constriction Constriction, Pathologic Coronary Circulation Female Heart Septal Defects, Atrial / complications, surgery Humans Hypoplastic Left Heart Syndrome / complications, physiopathology, surgery*, ultrasonography Infant, Newborn Mitral Valve / abnormalities Myocardial Ischemia / etiology, surgery Palliative Care Pulmonary Artery / physiopathology, surgery* Pulmonary Circulation Reoperation Shock, Cardiogenic / etiology, surgery Treatment Outcome Vascular Surgical Procedures* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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