Norwood-type operation with adjustable systemic-pulmonary shunt using hemostatic clip.
The postoperative course of a patient with hypoplastic left heart syndrome after a first-stage Norwood operation is governed to a large extent by the balance between the systemic and pulmonary circulations. Here we describe a simple and convenient technique for establishing an optimally sized systemic-pulmonary shunt by the application of a hemostatic clip. The method has been used in 6 patients.
Kuduvalli
M
M
Department of Cardiac Surgery, Royal Liverpool Children's Hospital, Alder Hey, United Kingdom.
McLaughlin
K E
KE
Trivedi
D B
DB
Pozzi
M
M
D001013:Aorta, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002245:Carbon Dioxide / Q000097:blood; D006488:Hemostasis, Surgical / Q000295:instrumentation*; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000601:surgery*; D007231:Infant, Newborn; D010100:Oxygen / Q000097:blood; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000097:blood / Q000601:surgery; D011474:Prosthesis Design; D017755:Prosthesis Fitting; D011651:Pulmonary Artery / Q000601:surgery*; D012086:Reoperation; D013525:Surgical Instruments
D002245:Carbon Dioxide; D011138:Polytetrafluoroethylene; D010100:Oxygen