Hybrid approach facilitates use of a minimized CPB circuit and transfusion free surgery in an extended Norwood stage II procedure.
Intraoperative stent implantation into a stenotic left pulmonary artery branch and surgical creation of a bidirectional Glenn anastomosis resulted in avoidance of aortic cross-clamping and transection of the aorta for surgical patching of the pulmonary artery. The hybrid approach thereby reduced the complexity of the surgical procedure, facilitated the use of a minimized cardiopulmonary bypass circuit, reduced the degree of hemodilution and blood trauma and resulted in transfusion-free surgery and excellent clinical outcome in an 11 kg child.
Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Berlin, Germany.
Michael
M
Huebler
Wolfgang
W
Boettcher
Andreas
A
Koster
Roland
R
Hetzer
Peter
P
Ewert
Felix
F
Berger
D000714:Anastomosis, Surgical; D001011:Aorta / Q000601:surgery*; D001803:Blood Transfusion; D006348:Cardiac Surgical Procedures / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods*; D002675:Child, Preschool; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery*; D013903:Thoracic Surgery / Q000379:methods*; D016896:Treatment Outcome; D014683:Vena Cava, Superior / Q000601:surgery*