title: A left anterior extrapleural approach to adjust right ventricle-pulmonary artery shunt flow using hemostatic clips after the Norwood operation.
abstract: Adjusting right ventricle-pulmonary artery shunt flow with placement of hemostatic clips in the Norwood operation is a useful technique for precise control of pulmonary blood flow in the acute postoperative period. This report describes our technique for optimizing right ventricle-pulmonary artery shunt flow with metal clips through a left anterior extrapleural approach, which can be performed safely and minimally invasively without sternal reopening. This procedure may decrease morbidity and contribute to long-term clinical improvement in patients undergoing the Norwood operation.
authors: Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan.
authors: Shunsuke
authors: S
authors: Matsushima
authors: Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan.
authors: Yoshihiro
authors: Y
authors: Oshima
authors: Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan.
authors: Ayako
authors: A
authors: Maruo
authors: Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan.
authors: Tomomi
authors: T
authors: Hasegawa
authors: Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan.
authors: Hironori
authors: H
authors: Matsuhisa
authors: Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan.
authors: Rei
authors: R
authors: Noda
authors: Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan.
authors: Ryuma
authors: R
authors: Iwaki
mesh_terms: D001783:Blood Flow Velocity; D006352:Heart Ventricles / Q000503:physiopathology / Q000601:surgery*; D006439:Hemodynamics; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000503:physiopathology / Q000601:surgery*; D007231:Infant, Newborn; D008670:Metals; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D058327:Norwood Procedures / Q000379:methods*; D010994:Pleura; D011651:Pulmonary Artery / Q000503:physiopathology / Q000601:surgery*
chemical_list: D008670:Metals