title: Norwood-type operation with adjustable systemic-pulmonary shunt using hemostatic clip.
abstract: 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.
authors.affiliation: Department of Cardiac Surgery, Royal Liverpool Children's Hospital, Alder Hey, United Kingdom.
authors.forename: M
authors.initials: M
authors.lastname: Kuduvalli
authors.forename: K E
authors.initials: KE
authors.lastname: McLaughlin
authors.forename: D B
authors.initials: DB
authors.lastname: Trivedi
authors.forename: M
authors.initials: M
authors.lastname: Pozzi
mesh_terms: 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
chemical_list: D002245:Carbon Dioxide; D011138:Polytetrafluoroethylene; D010100:Oxygen