[Norwood procedure after colostomy; report of a case].
We encountered a baby who was diagnosed with anal atresia, interruption of aortic arch (type B), aortic stenosis, mitral stenosis, single atrium, large ventricular septal defects, aberrant origin right subclavian artery. We operated on him using the Norwood procedure after a colostomy. Aortic arch was reconstructed by interposing with an 8 mm graft and the right ventricular-pulmonary artery (RV-PA) conduit was chosen for pulmonary flow. We closed the sternum 6 days after the Norwood procedure. We extubated him 16 days after delayed sternal closure. There was no trouble with his stoma and no sign of infection. The postoperative echocardiography didn't show the finding which left pulmonary artery was stenotic, but the lung perfusion schintigraphy revealed an imbalance in the distribution of lung perfusion. He was discharged 70 days after undergoing the Norwood procedure.
Sekine
Y
Y
Department of Cardiovascular Surgery, Shizuoka Children's Hospital, Shizuoka, Japan.
Sakamoto
K
K
Nishioka
M
M
Fujimoto
Y
Y
Ohta
N
N
Murata
M
M
Nakata
T
T
Yokata
M
M
D000714:Anastomosis, Surgical; D001006:Anus, Imperforate / Q000601:surgery*; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003125:Colostomy; D006325:Heart Atria / Q000002:abnormalities; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008946:Mitral Valve Stenosis / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods; D013348:Subclavian Artery / Q000002:abnormalities