To assess the feasibility of pulmonary artery banding, atrial septectomy or septostomy, and percutaneous stenting of the arterial duct in babies with the hypoplastic left heart syndrome. Four infants with hypoplastic left heart syndrome. Two supraregional paediatric cardiac centres. Ductal patency was maintained initially with prostaglandin E. Banding of the proximal branch pulmonary arteries was performed through a median sternotomy and open atrial septectomy was performed if balloon septostomy was not. Stainless steel stents (Johnson & Johnson) mounted in a balloon catheter were implanted into the arterial duct under radiographic control and expanded to a diameter of approximately 8 mm, prostaglandin treatment was then stopped. All the patients survived the immediate postoperative period and maintenance of wide ductal patency was achieved in three of the four patients by stent implantation. Two weeks after the procedure two babies died of right ventricular failure and respiratory infection: some distal ductal constriction had occurred in one where the stent was not quite sufficiently distally placed. One child was discharged home 15 days after treatment and was well at follow up at age 16 weeks and one was stable but required...Continue Reading
Lessons learned from the development of a new hybrid strategy for the management of hypoplastic left heart syndrome
Hybrid transcatheter-surgical palliation: basis for univentricular or biventricular repair: the Giessen experience
A review of ductal stenting in hypoplastic left heart syndrome: bridge to transplantation and hybrid stage I palliation.
Long-term outcome of palliation with internal pulmonary artery bands after primary heart transplantation for hypoplastic left heart syndrome.
Left ventricle after palliation of hypoplastic left heart syndrome: friend, fiend, or innocent bystander?
The effect of intraoperative hypotension on the outcomes of initial hybrid palliation for single ventricle congenital heart disease: an historical cohort study
Interventional catheterisation. Opening up II: venous return, the atrial septum, the arterial duct, aortopulmonary shunts, and aortopulmonary collaterals
Stenting of the ductus arteriosus and banding of the pulmonary arteries: basis for various surgical strategies in newborns with multiple left heart obstructive lesions
Developments in interventional cardiac catheterisation and progress in surgery for congenital heart disease: achieving a balance
Hybrid approach for hypoplastic left heart syndrome and its variants: the fate of the pulmonary arteries
Is routine rapid-staged bilateral pulmonary artery banding before stage 1 Norwood a viable strategy?
Effects of pulmonary artery banding and retrograde aortic arch obstruction on the hybrid palliation of hypoplastic left heart syndrome
Hybrid stage I palliation for hypoplastic left heart syndrome has no advantage on ventricular energetics: a theoretical analysis
Hybrid procedure as an alternative to surgical palliation of high-risk infants with hypoplastic left heart syndrome and its variants
Case 2-2009. Hybrid surgery in a patient with congenitally corrected transposition of the great arteries and situs inversus requiring tricuspid valve replacement and coronary artery revascularization
Hybrid therapy for hypoplastic left heart syndrome: Myth, alternative, or standard--neither Minotaur nor Midas
Obstructive left heart disease in neonates with a "borderline" left ventricle: diagnostic challenges to choosing the best outcome
Potential Molecular Mechanism of Retrograde Aortic Arch Stenosis in the Hybrid Approach to Hypoplastic Left Heart Syndrome
Catheter-based decompression of the left atrium in patients with hypoplastic left heart syndrome and restrictive atrial septum is safe and effective
Single-ventricle palliation for high-risk neonates: the emergence of an alternative hybrid stage I strategy
Birth weight and complexity are significant factors for the management of hypoplastic left heart syndrome
Interstage somatic growth in children with hypoplastic left heart syndrome after initial palliation with the hybrid procedure
Comparison of in-hospital and longer-term outcomes of hybrid and Norwood stage 1 palliation of hypoplastic left heart syndrome
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