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Commentary: Norwoodized Hybrid from Necker

  • Mahmut Ozturk
    Affiliations
    Division of Cardiac Surgery, Children's National Hospital, The George Washington University School of Medicine and Health Sciences, Washington, DC.
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  • Aybala Tongut
    Affiliations
    Division of Cardiac Surgery, Children's National Hospital, The George Washington University School of Medicine and Health Sciences, Washington, DC.
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  • Can Yerebakan
    Correspondence
    Address reprint requests to Can Yerebakan, MD, PhD, Division of Cardiac Surgery, Children's National Hospital, The George Washington University School of Medicine and Health Sciences, 111 Michigan Ave, Washington, DC 20010.
    Affiliations
    Division of Cardiac Surgery, Children's National Hospital, The George Washington University School of Medicine and Health Sciences, Washington, DC.
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      Does “Necker palliation” eliminate the pitfalls of both Norwood and Hybrid alternatives for hypoplastic left heart syndrome?
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      Linked Article

      • The Modified Norwood Procedure at Necker Hospital: Stage I and II for Hypoplastic Left Heart Syndrome
        Operative Techniques in Thoracic and Cardiovascular SurgeryVol. 27Issue 3
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          We describe a modified Stage I neonatal surgical palliation for hypoplastic left heart syndrome inspired by both the Norwood and hybrid procedures. This new technique consists in: (1) replacement of the patent ductus arteriosus and aortic arch plasty with a pulmonary homograft, (2) banding of both the right and left pulmonary arteries (PA), (3) atrial septectomy, and (4) reimplantation of the Aorta (when needed). This surgery is performed under cardio-pulmonary bypass without aortic cross clamping, except when the ascending Aorta is atretic and needs to be reimplanted.
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