Journal article

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

Abstract

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..

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