Document Detail


The bilateral pulmonary artery banding for hypoplastic left heart syndrome with a diminutive ascending aorta.
MedLine Citation:
PMID:  19126552     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Takahiro Tomoyasu; Kagami Miyaji; Takashi Miyamoto; Nobuyuki Inoue
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-01-06
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  8     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-23     Completed Date:  2009-06-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  479-81     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Kitasato University School of Medicine, Sagamihara, Japan.
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / 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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