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Neo-aorta reconstruction with retained stented patch in Norwood procedure after hybrid palliation of high-risk hypoplastic left heart syndrome: a case report

Published online by Cambridge University Press:  09 January 2025

Su Chan Lim Open the ORCID record for Su Chan Lim [Opens in a new window] ,
Hye Won Kwon Open the ORCID record for Hye Won Kwon [Opens in a new window] ,
Sungkyu Cho Open the ORCID record for Sungkyu Cho [Opens in a new window]  and
Sang-Yun Lee Open the ORCID record for Sang-Yun Lee [Opens in a new window]
Su Chan Lim
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Seoul National University Children’s Hospital, Seoul National University College of Medicine, Seoul, Korea
Hye Won Kwon
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Seoul National University Children’s Hospital, Seoul National University College of Medicine, Seoul, Korea
Sungkyu Cho*
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Seoul National University Children’s Hospital, Seoul National University College of Medicine, Seoul, Korea
Sang-Yun Lee
Affiliation:
Department of Pediatrics, Seoul National University Children’s Hospital, Seoul National University College of Medicine, Seoul, Korea
*
Corresponding author: Sungkyu Cho; Email: csk1022@hanmail.net
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Abstract

Hybrid procedure of hypoplastic left heart syndrome, comprising ductus arteriosus stenting and bilateral pulmonary artery banding, is a good surgical option for initial palliative procedure for high-risk patients for Norwood procedure. However, ductal stenting may cause retrograde aortic blood flow obstruction. Furthermore, complete removal of stent while performing the Norwood procedure make the operation more difficult. We report a case that overcame these problems using a novel surgical technique.

Keywords

Hypoplastic left heart syndromeNorwood proceduresductus arteriosusstents
Type
Brief Report
Information
Cardiology in the Young , First View , pp. 1 - 4
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Copyright
© The Author(s), 2025. Published by Cambridge University Press

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References

Alsoufi, B, Mori, M, Gillespie, S, et al. Impact of patient characteristics and anatomy on results of norwood operation for hypoplastic left heart syndrome. Ann Thorac Surg 2015; 100: 591–598.CrossRefGoogle ScholarPubMed
Calderone, CA, Benson, LN, Holtby, H, Van Arsdell, GS. Main pulmonary artery to innominate artery shunt during hybrid palliation of hypoplastic left heart syndrome. J Thorac Cardiovasc Surg 2005; 130: e1–e2.CrossRefGoogle Scholar
Caldarone, CA, Honjo, O, Benson, LN, Van Arsdell, GS. Modification of stage II procedure after hybrid palliation (bilateral pulmonary artery banding and ductal stenting) for hypoplastic left-sided heart syndrome: modified arch reconstruction with retained stented ductus patch. J Thorac Cardiovasc Surg 2007; 134: 1588–1589.CrossRefGoogle ScholarPubMed
Hasegawa, T, Oshima, Y, Maruo, A, et al. Aortic arch geometry after the Norwood procedure: the value of arch angle augmentation. J Thorac Cardiovasc Surg 2015; 150: 358–366.CrossRefGoogle ScholarPubMed
Krasemann, T, Kruit, MN, van der Mark, AE, Zeggelaar, M, Dalinghaus, M, van Beynum, IM. Dilating and fracturing side struts of open cell stents frequently used in pediatric cardiac interventions—An in vitro study. J Interv Cardiol 2018; 31: 834–840.CrossRefGoogle ScholarPubMed
Danon, S, Gray, RG, Crystal, MA, et al. Expansion characteristics of stents used in congenital heart disease: serial dilation offers improved expansion potential compared to direct dilation: results from a pediatric interventional cardiology early career society (PICES) investigation. Congenit Heart Dis 2016; 11: 741–750.CrossRefGoogle ScholarPubMed
Batteux, C, Haidar, MA, Bonnet, D. 3D-printed models for surgical planning in complex congenital heart diseases: a systematic review. Front Pediatr 2019; 7: 23.CrossRefGoogle ScholarPubMed
Hermsen, JL, Roldan-Alzate, A, Anagnostopoulos, PV. Three-dimensional printing in congenital heart disease. J Thorac Dis 2020; 12: 1194–1203.CrossRefGoogle ScholarPubMed