title: Beating-heart surgery for hypoplastic left heart syndrome with coronary artery fistulas.
abstract: The presence of ventriculocoronary connections in patients with hypoplastic left heart syndrome and mitral stenosis-aortic atresia is a suggested risk factor for myocardial ischemia after surgical palliation. We describe a neonate with this anatomic variant of hypoplastic left heart syndrome who underwent a successful beating-heart Norwood operation, with continuous coronary perfusion. The ventricular condition could be visually confirmed during the procedure, and a postoperative echocardiogram showed preserved ventricular function. This technique is considered an effective option for minimizing myocardial damage in this patient subtype.
authors.affiliation: Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan. Electronic address: matsushima_kch@hp.pref.hyogo.jp.
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Matsushima
authors.affiliation: Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Oshima
authors.affiliation: Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan.
authors.forename: Ayako
authors.initials: A
authors.lastname: Maruo
authors.affiliation: Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan.
authors.forename: Tomomi
authors.initials: T
authors.lastname: Hasegawa
authors.affiliation: Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan.
authors.forename: Hironori
authors.initials: H
authors.lastname: Matsuhisa
authors.affiliation: Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan.
authors.forename: Rei
authors.initials: R
authors.lastname: Noda
authors.affiliation: Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan.
authors.forename: Ryuma
authors.initials: R
authors.lastname: Iwaki
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000601:surgery*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000601:surgery*; D018618:Echocardiography, Doppler, Color; D005500:Follow-Up Studies; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D007231:Infant, Newborn; D008297:Male; D058327:Norwood Procedures / Q000379:methods*; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000601:surgery*