scholarly journals Main pulmonary artery to innominate artery shunt during hybrid palliation of hypoplastic left heart syndrome

2005 ◽  
Vol 130 (4) ◽  
pp. e1-e2 ◽  
Author(s):  
Christopher A. Caldarone ◽  
Lee N. Benson ◽  
Helen Holtby ◽  
Glen S. Van Arsdell
Keyword(s):  
Pulmonary Artery ◽  
Hypoplastic Left Heart Syndrome ◽  
Main Pulmonary Artery ◽  
Innominate Artery ◽  
Left Heart ◽  
Hypoplastic Left Heart ◽  
Left Heart Syndrome ◽  
Hybrid Palliation

Understanding the Hybrid Stage I Approach for Hypoplastic Left Heart Syndrome

2016 ◽  
Vol 36 (5) ◽  
pp. 48-55
Author(s):  
Sharon L. Cheatham ◽  
Grace M. Deyo
Keyword(s):  
Blood Flow ◽  
Pulmonary Artery ◽  
Hypoplastic Left Heart Syndrome ◽  
Main Pulmonary Artery ◽  
Median Sternotomy ◽  
Stage I ◽  
Left Heart ◽  
Hypoplastic Left Heart ◽  
Cavopulmonary Anastomosis ◽  
Left Heart Syndrome

Hybrid stage I palliation combines cardiothoracic surgery and interventional transcatheter procedures for treatment of hypoplastic left heart syndrome. The approach is an alternative to the Norwood procedure, the traditional first stage of surgical palliation. Hybrid stage I palliation involves placing bilateral branch pulmonary artery bands and a patent ductus arteriosus stent through a median sternotomy, performed without cardiopulmonary bypass. The purpose of the bands is to control blood flow to the lungs and protect the pulmonary bed while the stent sustains systemic cardiac output. A balloon atrial septostomy is performed to create an atrial septal defect for unobstructed blood flow from the left atrium to the right atrium. The second stage of palliative surgery is the comprehensive stage II, which incorporates removal of the stent and pulmonary artery bands, atrial septectomy, anastomosis of the diminutive ascending aorta to the main pulmonary artery, aortic arch augmentation, and bidirectional cavopulmonary anastomosis. The traditional Fontan procedure completes the series of palliation.

Hybrid Palliation for Hypoplastic Left Heart Syndrome: Association With Contemporary Outcomes

Circulation ◽  
2021 ◽  
Vol 144 (14) ◽  
pp. 1189-1191 ◽  
Author(s):  
Andrew B. Ho ◽  
Ines Hribernik ◽  
Daniel Shillaker ◽  
John Thomson ◽  
Abdul Salam ◽  
...  
Keyword(s):  
Hypoplastic Left Heart Syndrome ◽  
Left Heart ◽  
Hypoplastic Left Heart ◽  
Left Heart Syndrome ◽  
Hybrid Palliation ◽  
Syndrome Association
Sign in / Sign up

Export Citation Format

Share Document