Technical modification of the neoaortic reconstruction in Norwood procedure: sparing of anterior wall of the main pulmonary artery.
The growth potential of the neoaorta after the stage I Norwood procedure could be limited when the patient has a small ascending aorta. Patients with hypoplastic left heart syndrome usually have a large main pulmonary artery (MPA) and from its posterior wall both pulmonary arteries arise. We describe a modified technique that spares a large anterior wall of the MPA in the neoaortic reconstruction of Norwood procedure to enhance the growth potential of the neoaorta.
Sung
Si Chan
SC
Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, 1-10 Ami-dong, Seo-gu, Busan, South Korea. scsung21@hanmail.net
Chang
Yun Hee
YH
Lee
Hyoung Doo
HD
Ban
Ji Eun
JE
Choo
Ki Seok
KS
D001011:Aorta / Q000601:surgery; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000601:surgery*; D011651:Pulmonary Artery