PMID: 7540406May 1, 1995Paper

Surgery for infants with a hypoplastic systemic ventricle and severe outflow obstruction: early results with a modified Norwood procedure

British Heart Journal
F A Bu'LockWilliam J Brawn

Abstract

Prospective audit of the first year of implementation of a modified approach to palliation for infants with hypoplastic systemic ventricle and severe systemic outflow obstruction. Tertiary referral centre for neonatal and infant cardiac surgery. 17 of 19 infants (aged < 35 days) presenting to Birmingham Children's Hospital in 1993 with hypoplastic systemic ventricle and severe outflow obstruction underwent surgery. This was performed using a new modification of the Norwood-type arch repair, without the use of exogenous material, and a 3.5 mm Gore-tex shunt between the innominate and right pulmonary arteries. The Gore-tex shunt was replaced by a cavopulmonary shunt between 3 and 5 months later. Clinical, morphological, and functional determinants of outcome were examined. 10 (59%) infants survived initial surgery. All proceeded to cavopulmonary shunt without further loss. Significant atrioventricular valve regurgitation seemed to be the main risk factor for poor outcome. If this was excluded, the morphology of the dominant ventricle seemed to have little effect on the outcome of initial surgery. Early survival was achieved in 59% of patients in the first year of implementation of a protocol for surgery in infants with hypoplasti...Continue Reading

References

Dec 11, 1992·The Annals of Thoracic Surgery·W I NorwoodJ D Murphy
Jul 11, 1992·The Annals of Thoracic Surgery·D R JobesW I Norwood
Sep 11, 1991·The Annals of Thoracic Surgery·W I Norwood
Feb 1, 1988·The Annals of Thoracic Surgery·J D PigottW I Norwood
Jan 1, 1980·The American Journal of Cardiology·W I NorwoodS P Sanders
Apr 1, 1993·Journal of Pediatric Surgery·A HebraA J Ross

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Citations

Aug 4, 2005·Indian Journal of Pediatrics·Savitri Shrivastava
Feb 1, 2007·Pediatric Cardiology·Frank A Pigula
Oct 20, 2006·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Massimo GriselliWilliam J Brawn
Jan 13, 2001·The Annals of Thoracic Surgery·M H AbdullahI Adatia
Jan 22, 1998·The Annals of Thoracic Surgery·U BartramR Van Praagh
Mar 23, 1999·The Annals of Thoracic Surgery·J S TweddellS B Litwin
May 13, 1999·The Annals of Thoracic Surgery·M D BlackR M Freedom
Oct 3, 1998·Early Human Development·J G RodriguezP Soothill
Dec 19, 1998·Journal of the American College of Cardiology·W T MahleM S Cohen
Jun 1, 1997·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·S ConteG Pettersson
Dec 15, 2005·Heart, Lung & Circulation·S P SettyA R Kerr
Dec 2, 2008·Journal of Cardiac Surgery·Eva Maria B Delmo WalterRoland Hetzer
Jan 26, 2006·The Journal of Thoracic and Cardiovascular Surgery·Massimo GriselliWilliam J Brawn
May 29, 2003·The Journal of Thoracic and Cardiovascular Surgery·David A AshburnEugene H Blackstone
Feb 26, 2013·The Journal of Thoracic and Cardiovascular Surgery·Frederic JacquesGlen S Van Arsdell
Jul 15, 2006·Cardiology in the Young·Christo I TchervenkovGiovanni Stellin
Aug 5, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·V HraskaP Kunovský
Mar 29, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Z L NagyK G Watterson
Feb 16, 2021·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Smruti Ranjan MohantySuresh Gururaja Rao

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