Improving surgical outcome following the Norwood procedure

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Improving surgical outcome following the Norwood procedure

BACKGROUND The Norwood procedure consists of three palliative operations, performed in neonates with hypoplastic left heart syndrome. Especially the first stage (Norwood I) is associated with the highest mortality rates in paediatric cardiac surgery (up to 25%). During surgery, the aorta is reconstructed and a systemic-to-pulmonary shunt is applied. Originally the modified Blalock-Taussig shunt...

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Fate of pulmonary arteries following Norwood Procedure.

OBJECTIVE This study evaluated the requirement for surgical reoperation and catheter-based reintervention to central pulmonary arteries (CPAs) following Norwood Procedure (NP). We sought to identify the influence of various surgical techniques employed during NP on subsequent interventions. METHODS Between 1993 and 2004, 226 patients underwent Stage II following NP. Ninety-eight patients (43%...

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A new patch for the Norwood procedure.

The problems related to the pediatric pulmonary homograft availability and the possible transmission of viral infection led us to design a new patch for aortic enlargement in the Norwood procedure for hypoplastic left heart syndrome. This sterile bovine pericardial patch is not expensive and can be tailor-made.

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[Interventional catheterization after the Norwood procedure].

INTRODUCTION AND OBJECTIVES To carry out a retrospective analysis of the indications for, and the results and complications of interventional catheterization after the Norwood procedure. METHODS Between February 1993 and December 2006, 25 interventional catheterizations were performed in 14 patients who had undergone the Norwood procedure, prior to the Glenn or Fontan procedure. RESULTS Nin...

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Functional outcome following modified Elmslie-Trillat procedure.

The aim of this study was to evaluate the mid- and long-term outcome of the modified Elmslie-Trillat procedure, as well as to detect factors affecting it. Thirty-eight patients (44 procedures) with a mean age of 31 years were included in this study. The reason for operation was patellar instability in 10 cases, anterior knee pain with malalignment of the extensor mechanism in 15 cases and a com...

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ژورنال

عنوان ژورنال: Netherlands Heart Journal

سال: 2011

ISSN: 1568-5888,1876-6250

DOI: 10.1007/s12471-011-0171-8