title: Repair of aortic atresia and hypoplastic left heart syndrome without using graft material.
abstract: We present a modification of the Norwood stage 1 operation, where the neo-aorta was reconstructed without using graft material. After extensive mobilization of the descending aorta the ductus arteriosus was excised and an end-to-end anastomosis was created between the main pulmonary artery and the distal ductal-aortic junction. The proximal ascending aorta was anastomosed side-to-side to the neo-aorta. Finally either a direct side-to-side anastomosis was created or a 3.5-mm Gore-Tex graft was implanted between the innominate artery and the right pulmonary artery. The first three patients had a favourable outcome: echocardiography showed good ventricular function and acceptable saturation (85%) at the follow up.
authors.affiliation: Yorkshire Heart Centre, Leeds, UK.
authors.forename: Z L
authors.initials: ZL
authors.lastname: Nagy
authors.forename: J M
authors.initials: JM
authors.lastname: Parsons
authors.forename: K G
authors.initials: KG
authors.lastname: Watterson
mesh_terms: D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging / Q000601:surgery; D000714:Anastomosis, Surgical; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery; D006348:Cardiac Surgical Procedures; D004452:Echocardiography; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D010166:Palliative Care / Q000379:methods*; D014656:Vascular Surgical Procedures