Simplified antegrade cerebral perfusion and myocardial protection during stage I Norwood procedure.
Several important modifications have been introduced in the intraoperative management of neonates with hypoplastic left heart syndrome during first-stage palliation. Among these, utilization of selective antegrade cerebral perfusion and interposition of a conduit between the right ventricle and pulmonary artery are currently favored by many centers. We briefly describe our current approach to the modified stage I Norwood procedure.
Vricella
Luca A
LA
Cardiothoracic Unit, Great Ormond Street Hospital for Children, London WC1N 3JH, UK.
Samankatiwat
Piya
P
de Leval
Marc R
MR
Tsang
Victor T
VT
Vouhé
Pascal R
PR
D016122:Brachiocephalic Trunk / Q000503:physiopathology / Q000601:surgery; D006328:Cardiac Catheterization / Q000379:methods*; D002560:Cerebrovascular Circulation; D003326:Coronary Circulation; D005112:Extracorporeal Circulation / Q000379:methods*; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000601:surgery*; D007231:Infant, Newborn; D010477:Perfusion / Q000379:methods*