PMID: 11343951May 10, 2001Paper

Single ventricle with systemic obstruction in early life: comparison of initial pulmonary artery banding versus the Norwood operation

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
C I TchervenkovR Platt

Abstract

The outcomes of initial pulmonary artery banding (PAB)+/-coarctation repair are compared with the Norwood operation in newborns with single ventricle (SV) and systemic obstruction (SO). Between January 1987 and July 2000, 22 patients (median age, 12 days) with SV and aortic arch obstruction (AAO), subaortic stenosis (SAS), or both underwent surgery. Two initial surgical approaches were used: PAB+/-coarctation repair (group I, seven patients); Norwood type operation (group II, 15 patients). The overall mortality was 32% (seven of 22 patients). There was no late mortality. The mortality in group I was 43% versus 27% in group II. Recently, there has been no mortality following the Norwood operation in the last eight patients operated since 1995. Of the survivors, nine patients have undergone the Fontan operation and four patients have had the bidirectional Glenn (BDG) with no deaths. There was one repair of supravalvar aortic stenosis at the time of BDG in group II as opposed to eight reinterventions for SAS and/or AAO in four patients in group I (P=0.01). PAB+/-coarctation repair for SV and SO is associated with a high mortality and a high reoperation rate for SAS or recurrent AAO. Although the Norwood operation was also associat...Continue Reading

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Citations

Aug 26, 2006·Pediatric Cardiology·Yun Hee ChangSi Chan Sung
Dec 23, 2003·The Journal of Thoracic and Cardiovascular Surgery·Antonio F CornoLudwig K von Segesser
May 11, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Bahaaldin AlsoufiZohair Al-Halees
Jan 28, 2010·The Annals of Thoracic Surgery·Noriyoshi KajiharaSeiyo Yasui
May 21, 2008·The American Journal of Cardiology·Edythe B C ThamWayne Tworetzky
Jan 29, 2008·The Annals of Thoracic Surgery·Sachin TalwarAnita Saxena
Jul 28, 2004·The Annals of Thoracic Surgery·Andrew J B ClarkeDavid S Winlaw
Sep 1, 2004·Journal of the American College of Cardiology·Nicole SekarskiErik J Meijboom
Nov 1, 2013·Journal of the Saudi Heart Association·Bahaaldin Alsoufi
Sep 7, 2016·The Annals of Thoracic Surgery·Bahaaldin AlsoufiKirk Kanter
Apr 1, 2012·World Journal for Pediatric & Congenital Heart Surgery·Carl Lewis BackerBarbara J Deal
Dec 31, 2014·World Journal for Pediatric & Congenital Heart Surgery·Bahaaldin AlsoufiBrian Kogon
Aug 24, 2018·World Journal for Pediatric & Congenital Heart Surgery·Friso M RijnbergMark G Hazekamp

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