Modification of the Norwood procedure in isomeric complete atrio-ventricular canal and hypoplastic right aortic arch.
We report a modification of the Norwood stage I procedure in a neonate with right aortic arch and complete atrio-ventricular canal in a variant of hypoplastic heart syndrome. Because of the unusual anatomy, the neo-aorta was reconstructed with a specially trimmed homograft patch and the pulmonary flow was maintained with implantation of a right ventricle to pulmonary artery shunt on the left side of the aorta. The patient had a favourable outcome and is now awaiting the stage II procedure.
Pediatric Heart Institute, University Hospital Doce de Octubre, Madrid, Spain bCardiovascular Center Zurich, Clinic Im Park, Zurich, Switzerland. enrique_huc@hotmail.com
Enrique
E
García
Stefano M
SM
Marianeschi
Lorenzo
L
Boni
Maria V
MV
Ramos
Isabel
I
Jiménez
Pascal A
PA
Berdat
Juan V
JV
Comas
D000015:Abnormalities, Multiple / Q000601:surgery*; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006348:Cardiac Surgical Procedures; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000601:surgery*; D007231:Infant, Newborn; D008297:Male; D011667:Pulmonary Veins / Q000002:abnormalities / Q000601:surgery; D012857:Situs Inversus / Q000601:surgery; D016896:Treatment Outcome