title: Palliation via hybrid procedure of a 1.4-kg patient with a hypoplastic left heart.
abstract: Despite improvements in survival of patients with hypoplastic left heart syndrome (HLHS) with various palliative procedures, certain risk factors, such as weight less than 2.5 kg, continue to predict increased mortality. We report the palliation of a patient with HLHS weighing 1.4 kg via a hybrid procedure consisting of banding of the pulmonary arteries bilaterally, stenting the ductus arteriosus, and balloon atrial septostomy. We propose that this may be another alternative for palliation in this high-risk patient group.
authors: The Heart Center, Columbus Children's Hospital, and Division of Pediatrics, The Ohio State University, Columbus, Ohio 43205-2696, USA. clcua@hotmail.com
authors: Clifford L
authors: CL
authors: Cua
authors: Mark E
authors: ME
authors: Galantowicz
authors: Daniel R
authors: DR
authors: Turner
authors: Thomas J
authors: TJ
authors: Forbes
authors: Sharon L
authors: SL
authors: Hill
authors: Timothy M
authors: TM
authors: Hoffman
authors: John P
authors: JP
authors: Cheatham
mesh_terms: D002404:Catheterization; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000628:therapy*; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000601:surgery*; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000150:complications / Q000601:surgery / Q000628:therapy*; D007231:Infant, Newborn; D008026:Ligation; D010166:Palliative Care; D011651:Pulmonary Artery / Q000601:surgery*; D015607:Stents