A shunt decision-making protocol in the surgical palliation of hypoplastic left heart syndrome from 2004 to 2016
Thomas John Kelly, Diana Zannino, Johann Brink, Igor E Konstantinov, Michael M Cheung, Yves D'Udekem, Christian Pierre Brizard
European Journal of Cardio-Thoracic Surgery | OXFORD UNIV PRESS INC | Published : 2020
OBJECTIVES: The aim of this study was to study the impact of a decision-making protocol for shunt type in the Norwood procedure for hypoplastic left heart syndrome. Our cohort extends from 2004 to 2016. In era 1 (pre-2008), there was no policy for the choice of Norwood shunt. In era 2 (post-2008), a standard protocol was implemented. The right ventricle (RV)-to-pulmonary artery conduit was utilized for low-birth weight patients (<2.5 kg). The right modified Blalock-Taussig Shunt (RBTS) was constructed for normal birth weight patients. METHODS: The records of 133 consecutive operative patients with hypoplastic left heart syndrome anatomy between 2004 and 2016 were retrospectively reviewed. Su..View full abstract
This work was supported by Murdoch Children's Research Institute (MCRI) Heart Research.