Reexamining Interstage Home Monitoring After the Norwood Operation

Reexamining Interstage Home Monitoring After the Norwood Operation.

Re: use of surveillance criteria reduces interstage mortality after the Norwood operation for hypoplastic left heart syndrome.

OBJECTIVES While hospital mortality after the Norwood operation for hypoplastic left heart syndrome (HLHS) has decreased steadily, interstage mortality until the superior cavopulmonary anastomosis (SCPA) remains a major concern. Our aim was to institute a home surveillance programme to decrease interstage mortality. METHODS We enrolled 45 HLHS patients surviving the Norwood operation into our...

Growth characteristics of the aortic arch after the Norwood operation.

OBJECTIVES We sought to characterize the growth of the reconstructed aortic arch after the Norwood operation (NO). BACKGROUND The first stage of surgical palliation of hypoplastic left heart syndrome (HLHS), the NO, includes augmentation of the aortic arch with homograft. Growth characteristics of the reconstructed aortic arch, which is comprised of both native aortic tissue and homograft, ha...

Prevention of early sudden circulatory collapse after the Norwood operation.

BACKGROUND After modifications in our perioperative management protocol, we have observed a decrease in sudden circulatory collapse after the Norwood operation. The current study examines early outcomes after the Norwood operation in our unit in an attempt to identify variables that may have altered the risk of unexpected circulatory collapse. METHODS AND RESULTS We studied 105 consecutive ne...

[Experience with the Norwood operation for hypoplastic left heart syndrome].

INTRODUCTION AND OBJECTIVES To describe our experience and to identify risk factors for in-hospital mortality. METHODS Between October 1991 and June 2005, 42 children underwent the Norwood procedure. In the first 30 patients, pulmonary circulation was established using a modified Blalock-Taussig shunt (Group 1), while a right ventricle to pulmonary artery conduit was used in the remaining 12 ...