Early results with a new procedure for hypoplastic left heart syndrome and aortic atresia
Pridjian, A.K.; Culpepper, W.C.; McGettigan, M.; Gourri, T.; Ochsner, J.L.
Journal of the Louisiana State Medical Society Official Organ of the Louisiana State Medical Society 147(7): 308-312
1995
ISSN/ISBN: 0024-6921 PMID: 7544389 Document Number: 454465
One patient with hypoplastic left heart syndrome and another with aortic atresia and a complex form of functional single ventricle, who were candidates for the Norwood operation, received a new palliative procedure. This involved anastomosis of the dome of the pulmonary artery to the undersurface of the transverse arch of the aorta with placement of a fenestrated patch in the main pulmonary artery to divide the systemic and pulmonary circulations. Both patients have survived this initial procedure and will receive second stage palliation at 6 months of age. Shorter circulatory arrest and cardiopulmonary bypass times are required, and this procedure may be a safer alternative than the Norwood for neonates with hypoplastic left heart syndrome and aortic atresia.