title: Use of the "chimney patch" technique for Norwood stage I procedures.
abstract: The Norwood stage I procedure is often used for the initial treatment of infants with hypoplastic left heart syndrome. This procedure creates a systemic arterial to pulmonary artery shunt to establish pulmonary blood flow. We describe a method to facilitate placement of this shunt by attaching a polytetrafluoroethylene shunt to a pulmonary artery homograft patch before performing the median sternotomy. This technique facilitates the performance of the proximal shunt anastomosis and expedites the procedure.
authors.affiliation: Division of Cardiovascular and Thoracic Surgery, University of Illinois College of Medicine and Children's Hospital of Illinois at St. Francis Medical Center, Peoria 61603, USA. plunk@ilcardiac.com
authors.forename: M D
authors.initials: MD
authors.lastname: Plunkett
authors.forename: L M
authors.initials: LM
authors.lastname: Bond
authors.forename: D M
authors.initials: DM
authors.lastname: Geiss
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D006348:Cardiac Surgical Procedures / Q000379:methods*; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000601:surgery*; D011138:Polytetrafluoroethylene; D011651:Pulmonary Artery / Q000601:surgery
chemical_list: D011138:Polytetrafluoroethylene