Modified Norwood Procedure without Circulatory Arrest and Myocardial Ischemia: Report of 2 cases / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 547-551, 2001.
Article
in Korean
| WPRIM
| ID: wpr-30081
ABSTRACT
The effects of deep hypothermia and circulatory arrest during aortic arch reconstruction are associated with potential neurologic and myocardial injury. We describe a surgical technique that two patients underwent a modified Norwood procedure without circulatory arrest and myocardial ischemia. One was 13-day-old female patient, weighing 3.1kg, having a variant of hypoplastic left heart syndrome and another was 38-day-old male patient, weighing 3.4 kg, diagnosed Taussig-Bing anomaly with severe aortic arch hypoplasia, coarctation of the aorta, and subaortic stenosis. The arterial cannula was inserted in innominate artery directly. During Norwood reconstruction, regional high-flow perfusion into the inominate artery and coronary perfusion were maintained and there were no neurologic, cardiac, and renal complications in two patients. This technique may help protect the brain and myocardium from ischemic injury in patients with hypoplastic left heart syndrome or other arch anomalies including coarctation or interruption.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aorta, Thoracic
/
Aortic Coarctation
/
Perfusion
/
Arteries
/
Double Outlet Right Ventricle
/
Brain
/
Catheterization, Peripheral
/
Brachiocephalic Trunk
/
Myocardial Ischemia
/
Hypoplastic Left Heart Syndrome
Limits:
Female
/
Humans
/
Male
Language:
Korean
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2001
Type:
Article
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