Feb 1, 1988

Palliative reconstructive surgery for hypoplastic left heart syndrome

The Annals of Thoracic Surgery
J D PigottW I Norwood


From August, 1985, through August, 1987, 104 consecutive, nonselected neonates underwent palliation of hypoplastic left heart syndrome. The technique included pulmonary artery homograft augmentation of the diminutive ascending aorta and aortic arch, atrial septectomy, transection of the main pulmonary artery with patch closure of the distal main pulmonary artery, anastomosis of the proximal main pulmonary artery to the augmented ascending aorta, and a 4-mm, modified, right Blalock-Taussig (N = 21) or central (N = 83) shunt. There were 30 early and 11 late deaths. Early mortality was most commonly associated with hypoventilation. Complications included development of aortic arch obstruction (N = 11) and progressive hypoxemia (N = 11). Alterations in surgical techniques and perioperative management should permit continued improvement in early and long-term survival.

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Mentioned in this Paper

Coronary Vessel Anomalies
Anatomical Anastomosis
Suture Techniques
Aortic Arch Structure
Pulmonary Artery Structure
Congenital Heart Defects
Hypoplastic Left Heart Syndrome

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