Use of a saphenous venous homograft for constructing a conduit from the right ventricle to the pulmonary arteries in the Norwood procedure.
The use of a conduit of polytetrafluoroethylene placed between the right ventricle and the pulmonary arteries as source of pulmonary arterial supply during the first stage of palliation for the hypoplastic left heart syndrome has facilitated post-operative management and resulted in decreased mortality. We describe here the use of a cryopreserved saphenous vein inserted in reversed direction to create the connection between the right ventricle and the pulmonary arteries in a neonate with low birth weight undergoing the modified Norwood procedure.
Vricella
Luca A
LA
Division of Cardiac Surgery, The Johns Hopkins Hospital, Baltimore, MD 21287-4618, USA. lvricella@jhmi.edu
Crosson
Jane E
JE
Cameron
Duke E
DE
D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D015925:Cryopreservation; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000601:surgery*; D007231:Infant, Newborn; D008297:Male; D010166:Palliative Care; D011651:Pulmonary Artery / Q000601:surgery; D012501:Saphenous Vein / Q000637:transplantation*