Sustained Total All-Region (STAR) perfusion for Norwood reconstruction with complex intracardiac repair

Perfusion ◽  
2020 ◽  
pp. 026765912095438
Author(s):  
Neel K Prabhu ◽  
Joseph W Turek ◽  
Nicholas D Andersen

We present the case of a newborn with complex congenital heart disease who was treated with a neonatal Norwood operation and total anomalous pulmonary venous return repair. During the Norwood reconstruction, a novel technique was utilized to perfuse the head, lower body, and heart continuously to minimize ischemic injury.

1995 ◽  
Vol 109 (4) ◽  
pp. 654-662 ◽  
Author(s):  
Paul W. Weldner ◽  
John L. Myers ◽  
Marie M. Gleason ◽  
Stephen E. Cyran ◽  
Howard S. Weber ◽  
...  

2012 ◽  
Vol 23 (2) ◽  
pp. 306-309
Author(s):  
I. Ricardo Argueta-Morales ◽  
Robyn M. Hathaway ◽  
David G. Nykanen

AbstractPulmonary arteriovenous malformations in patients with congenital heart disease have been associated with interruption of hepatic venous return to the lungs. We report a novel technique to improve systemic saturation using a modified covered stent in a patient with unilateral left pulmonary arteriovenous malformations in the setting of a Fontan circulation.


Perfusion ◽  
1997 ◽  
Vol 12 (3) ◽  
pp. 203-206 ◽  
Author(s):  
Rich Manzer ◽  
Robin G Sutton ◽  
James Ploessl ◽  
Scott Niles ◽  
Douglas Behrendt

When choosing cannulae for cardiac surgery the two most important factors to be considered are the proposed procedure and the patient anatomy. These factors are especially crucial in paediatric patients with congenital heart disease. A 3-year-old, 14-kg male presented to the University of Iowa Hospitals and Clinics with dextro-transposition of the great arteries, atrioventricular canal, left pulmonary stenosis, azygous continuation, bilateral superior vena cavae, partial anomalous pulmonary venous return, left aortic arch and status post-right Blalock-Taussig shunt. The complex anatomy presented a surgical dilemma. The course of surgical intervention was determined, a variation of the modified Fontan procedure, and the anatomy of the patient was directly viewed. The surgeon concluded that four venous cannulae were required to provide adequate venous return for the cardiopulmonary bypass (CPB) circuit and a bloodless surgical field. The operation was successfully performed under mild hypothermia with no complications. The patient fully recovered with only mild restrictions on his activity level. This case acutely illustrates the importance of anatomical and procedural awareness when choosing cannulae and cannulation sites for CPB in paediatric patients with congenital heart disease.


2019 ◽  
Vol 16 (3) ◽  
pp. 187-191
Author(s):  
T.V. Rogova ◽  
A.I. Kim ◽  
A.V. Sobolev ◽  
S.A. Aleksandrova ◽  
E.V. Kholmanskaya ◽  
...  

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