Double shunt technique for hybrid palliation of hypoplastic left heart syndrome: a case report.
We report a technique to palliate hypoplastic left heart syndrome, with no PDA stenting, but with double polytetrafluoroethylene shunt from pulmonary artery to ascending and descending aorta by combined thoracotomies. A 30-day-old female was operated with this technique. Five months after first operation, the child was submitted to Norwood/Glenn operation. Good hemodinamic recovery and initial clinical evolution was observed. The child was extubated in 8th post operatory day and reentubated in the next day due to pulmonary infection. Despite antibiotic treatment, the child died after systemic infectious complications.
Serviço de cirurgia Cardíaca Pediátrica do Hospital do Coração (HCor), São Paulo, SP, Brazil. mbjatene@uol.com.br
Marcelo Biscegli
MB
Jatene
Patrícia M
PM
Oliveira
Rafael A
RA
Moysés
Ieda Biscegli
IB
Jatene
Carlos A
CA
Pedra
Simone F
SF
Pedra
Fabiana
F
Succi
Vitor Oliveira
VO
Carvalho
Carlos R
CR
Ferreiro
D017809:Fatal Outcome; D005260:Female; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000601:surgery*; D007231:Infant, Newborn; D058327:Norwood Procedures; D010166:Palliative Care / Q000379:methods*; D011138:Polytetrafluoroethylene
D011138:Polytetrafluoroethylene