Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas
Volume 10, Issue 2 , Pages 141-151 , Summer 2005

Right Ventricle-Pulmonary Artery Shunt in First-Stage Palliation of Hypoplastic Left Heart Syndrome

  • Shunji Sano, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Shunji Sano, MD, Department of Cardiovascular Surgery, Okayama University Graduate School of Medicine and Dentistry, 2-5-1 Shikata-cho, Okayama City 700-8558, Japan
    • ,
  • Kozo Ishino, MD
    • ,
  • Masaaki Kawada, MD
    • ,
  • Osami Honjo, MD

References 

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  2. Sinha SN , Rusnak SL , Sommers HM , et al.   Hypoplastic left ventricle syndrome (analysis of thirty autopsy cases in infants with surgical consideration) . Am J Cardiol . 1968;21:166–173
  3. Hawkins JA , Doty DB . Aortic atresia (morphologic characteristics affecting survival and operative palliation) . J Thorac Cariovasc Surg . 1984;88:620–626
  4. Norwood WI , Lang P , Castaneda AR , et al.   Experience with operation for hypoplastic left heart syndrome . J Thorac Cardiovasc Surg . 1981;82:511–519
  5. Bove EL , Lloyd TR . Staged reconstruction for hypoplastic left heart syndrome . Ann Surg . 1996;224:387–395
  6. Mahle WT , Spray TL , Wernovsky G , et al.   Survival after reconstructive surgery for hypoplastic left heart syndrome (a 15-year experience from a single institution) . Circulation . 2000;102(suppl III):III-136–III-141
  7. Tweddell JS , Hoffman GM , Mussatto KA , et al.   Improved survival of patients undergoing palliation of hypoplastic left heart syndrome (lessons learned from 115 consecutive patients) . Circulation . 2002;106(suppl I):I-81–I-89
  8. Ishino K , Stumper O , De Giovanni JJV , et al.   The modified Norwood procedure for hypoplastic left heart syndrome (early to intermediate results of 120 patients with particular reference to aortic arch repair) . J Thorac Cardiovasc Surg . 1999;117:920–930
  9. Bartram U , Grunenfelder J , Van Praagh R . Causes of death after the modified Norwood procedure (a study of 122 postmortem cases) . Ann Thorac Surg . 1997;64:1795–1802
  10. Mosca RS , Bove EL , Crowley DC , et al.   Hemodynamic characteristics of neonates following first stage palliation for hypoplastic left heart syndrome . Circulation . 1995;92(suppl II):II-267–II-271
  11. Mahle WT , Spray TL , Gaynor JW , et al.   Unexpected death after reconstructive surgery for hypoplastic left heart syndrome . Ann Thorac Surg . 2001;71:61–65
  12. Altmann K , Printz BF , Solowiejczyk DE , et al.   Two-dimensional echocardiographic assessment of right ventricular function as a predictor of outcome in hypoplastic left heart syndrome . Am J Cardiol . 2000;86:964–968
  13. Kern JH , Hayes CJ , Michler RE , et al.   Survival and risk factor analysis for the Norwood procedure for hypoplastic left heart syndrome . Am J Cardiol . 1997;80:170–174
  14. Jacobs ML , Blackstone EH , Bailey LL . The Congenital Heart Surgeons Society. Intermediate survival in neonates with aortic atresia (a multi-institutional study) . J Thorac Cardiovasc Surg . 1998;116:417–431
  15. Kishimoto H , Kawahira Y , Kawata H , et al.   The modified Norwood palliation on a beating heart . J Thorac Cardiovasc Surg . 1999;118:1130–1132
  16. Sano S , Ishino K , Kawada M , et al.   Right ventricle-to-pulmonary artery shunt in first-stage palliation of hypoplastic left heart syndrome . J Thorac Cardiovasc Surg . 2003;126:504–510
  17. Jobes DR , Nicolson SC , Steven JM , et al.   Carbon dioxide prevents pulmonary overcirculation in hypoplastic left heart syndrome . Ann Thorac Surg . 1991;54:150–151
  18. Hoffman GM , Ghanayem NS , Kampine JM , et al.   Venous saturation and the anaerobic threshold in neonates after the Norwood procedure for hypoplastic left heart syndrome . Ann Thorac Surg . 2000;70:1515–1521
  19. Sano S , Ishino K , Kawada M , et al.   Right ventricle-to-pulmonary artery shunt in first stage palliation of hypoplastic left heart syndrome . Semin Thorac Cardiovasc Surg . 2004;7:22–31
  20. Gatzoulis MA , Balaji S , Webber SA , et al.   Risk factors for arrhythmia and sudden cardiac death later after repair of tetralogy of Fallot (a multicentre study) . Lancet . 2000;356:975–981
  21. Dietl CA , Cazzaniga ME , Dubner SJ , et al.   Life-threatening arrhythmias and RV dysfunction after surgical repair of tetralogy of Fallot (comparison between transventricular and transatrial approaches) . Circulation . 1994;90:II-7–II-12
  22. Sano S, Ishino K, Kawada M, et al: Five year experience with RV-PA shunt in first stage palliation of hypoplastic left heart syndrome—influence to pulmonary artery growth and cardiac function. Ann Thorac Surg (in press)

PII: S1522-2942(05)00035-8

doi: 10.1053/j.optechstcvs.2005.06.002

Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas
Volume 10, Issue 2 , Pages 141-151 , Summer 2005

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