Outcomes of surgical treatment of infants with hypoplastic left heart syndrome: An institutional experience 1983-2004

Abstract

Aim: To determine outcomes of surgical treatment of infants with hypoplastic left heart syndrome (HLHS). Methods: Retrospective analysis of medical records of infants with HLHS. Results: 129 of 206 (63%) infants with HLHS were managed surgically over the period 1983-2004. Survival from all stages of surgical repair was 52 (40%) patients with significantly different (P < 0.001) survival according to surgical techniques and post-operative intensive care management recognisable in three eras. During 1983-1995 a classical Norwood stage 1 operation with a systemic-pulmonary shunt was performed for 61 infants with 13 (21%) survivors. From 1996 to 2002, pulmonary vasoconstriction and systemic vasod..