| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
J Thorac Cardiovasc Surg 1994;107:934-940
© 1994 Mosby, Inc.
SURGERY FOR CONGENITAL HEART DISEASE |
Ann Arbor, Mich.
Presented at the Sixty-fifth Scientific Session of the American Heart Association, New Orleans, La., Nov. 17, 1992.
Received for publication April 23, 1993. Accepted for publication July 30, 1993. Address for reprints: Edward L. Bove, MD, 1500 East Medical Center Dr., 2120 Taubman Center, Box 0344, Ann Arbor, MI 48109.
Abstract
Between January 1990 and February 1993, 73 patients underwent first-stage reconstruction for hypoplastic left heart syndrome at the University of Michigan Medical Center. During this period, surgical reconstruction remained essentially constant and consisted of a pulmonary artery–to–aorta anastomosis with allograft augmentation of the ascending, transverse, and proximal descending aorta, restriction of pulmonary blood flow with a polytetrafluoroethylene shunt from the innominate artery to the central pulmonary artery confluence, and atrial septectomy. Hospital survival was 62 of 73 patients, 85% (70% confidence limits: 80% to 89%). These results stand in marked contrast to those obtained during the earlier years of our experience from 1986 to 1989 when only 21 of 50 patients (42%, 70% confidence limits: 35% to 49%) survived (p = 0.001). Among the most recent group of patients, only 2 of 7 patients older than 1 month of age at operation survived, whereas 60 of 66 (91%, 70% confidence limits: 87% to 94%) patients younger than 1 month of age survived (p = 0.0001). Anatomic subtype and ascending aortic diameter were not predictive of survival. Actuarial survivals for those patients younger than 1 month of age at the first-stage operation, including hospital deaths and subsequent operative procedures, were 81%, 74%, and 74% at 6 months, 1 year, and 2 years, respectively. These results indicate that survival for patients after first-stage reconstruction for hypoplastic left heart syndrome has significantly improved in recent years. Older age was a strong risk factor, with a hospital survival of 91% for those patients undergoing first-stage palliation within the first month of life. These data have important implications for the type of operative intervention and its timing. (J THORACCARDIOVASCSURG1994;107:934-40)
This article has been cited by other articles:
|
|
 |
|
  J. R. Lane and G. Ben-Shachar Myocardial Infarction in Healthy Adolescents Pediatrics, October 1, 2007; 120(4): e938 - e943. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. M. Ilbawi, D. E. Spicer, S. Bharati, A. Cook, and R. H. Anderson Morphologic study of the ascending aorta and aortic arch in hypoplastic left hearts: Surgical implications J. Thorac. Cardiovasc. Surg., July 1, 2007; 134(1): 99 - 105. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. Edwards, K. P Morris, A. Siddiqui, D. Harrington, D. Barron, and W. Brawn Norwood procedure for hypoplastic left heart syndrome: BT shunt or RV-PA conduit? Arch. Dis. Child. Fetal Neonatal Ed., May 1, 2007; 92(3): F210 - F214. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Stieh, G. Fischer, J. Scheewe, A. Uebing, P. Dutschke, O. Jung, R. Grabitz, H. J. Trampisch, and H. H. Kramer Impact of preoperative treatment strategies on the early perioperative outcome in neonates with hypoplastic left heart syndrome J. Thorac. Cardiovasc. Surg., May 1, 2006; 131(5): 1122 - 1129. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. N. Stasik, C. S. Goldberg, E. L. Bove, E. J. Devaney, and R. G. Ohye Current outcomes and risk factors for the Norwood procedure J. Thorac. Cardiovasc. Surg., February 1, 2006; 131(2): 412 - 417. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. A. Connor, K. Gauvreau, and K. J. Jenkins Factors Associated With Increased Resource Utilization for Congenital Heart Disease Pediatrics, September 1, 2005; 116(3): 689 - 695. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. A. Checchia, J. McCollegan, N. Daher, N. Kolovos, F. Levy, and B. Markovitz The effect of surgical case volume on outcome after the Norwood procedure J. Thorac. Cardiovasc. Surg., April 1, 2005; 129(4): 754 - 759. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. C. De Oliveira, D. A. Ashburn, F. Khalid, H. M. Burkhart, I. T. Adatia, H. M. Holtby, W. G. Williams, and G. S. Van Arsdell Prevention of Early Sudden Circulatory Collapse After the Norwood Operation Circulation, September 14, 2004; 110(11_suppl_1): II-133 - II-138. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. A. Connor, R. R. Arons, M. Figueroa, and K. M. Gebbie Clinical Outcomes and Secondary Diagnoses for Infants Born With Hypoplastic Left Heart Syndrome Pediatrics, August 1, 2004; 114(2): e160 - e165. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. A. Checchia, R. Larsen, R. Sehra, N. Daher, S. R. Gundry, A. J. Razzouk, and L. L. Bailey Effect of a selection and postoperative care protocol on survival of infants with hypoplastic left heart syndrome Ann. Thorac. Surg., February 1, 2004; 77(2): 477 - 483. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Malec, K. Januszewska, J. Kolcz, and T. Mroczek Right ventricle-to-pulmonary artery shunt versus modified Blalock-Taussig shunt in the Norwood procedure for hypoplastic left heart syndrome - influence on early and late haemodynamic status Eur. J. Cardiothorac. Surg., May 1, 2003; 23(5): 728 - 734. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. A. Ashburn, B. W. McCrindle, C. I. Tchervenkov, M. L. Jacobs, G. K. Lofland, E. L. Bove, T. L. Spray, W. G. Williams, and E. H. Blackstone Outcomes after the Norwood operation in neonates with critical aortic stenosis or aortic valve atresia J. Thorac. Cardiovasc. Surg., May 1, 2003; 125(5): 1070 - 1082. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. L. Jacobs Aortic reconstruction in hypoplastic left heart syndrome--A reappraisal J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(90030): S82 - 84. [Full Text] [PDF]
|
|
|
|
|
|
T. Kitaichi, F. Chikugo, T. Kawahito, T. Hori, Y. Masuda, and T. Kitagawa Suitable shunt size for regulation of pulmonary blood flow in a canine model of univentricular parallel circulations J. Thorac. Cardiovasc. Surg., January 1, 2003; 125(1): 71 - 78. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. W. Duncan, G. L. Rosenthal, T. K. Jones, and F. M. Lupinetti First-stage palliation of complex univentricular cardiac anomalies in older infants Ann. Thorac. Surg., December 1, 2001; 72(6): 2077 - 2080. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. C. Jenkins, M. F. Flanagan, J. D. Sargent, C. E. Canter, R. E. Chinnock, K. J. Jenkins, R. N. Vincent, G. T. O'Connor, and A. N. A. Tosteson A comparison of treatment strategies for hypoplastic left heart syndrome using decision analysis J. Am. Coll. Cardiol., October 1, 2001; 38(4): 1181 - 1187. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Azakie, S. L. Merklinger, B. W. McCrindle, G. S. Van Arsdell, K.-J. Lee, L. N. Benson, J. G. Coles, and W. G. Williams Evolving strategies and improving outcomes of the modified Norwood procedure: a 10-year single-institution experience Ann. Thorac. Surg., October 1, 2001; 72(4): 1349 - 1353. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. T. Mahle, R. R. Clancy, S. P. McGaurn, J. E. Goin, and B. J. Clark Impact of Prenatal Diagnosis on Survival and Early Neurologic Morbidity in Neonates With the Hypoplastic Left Heart Syndrome Pediatrics, June 1, 2001; 107(6): 1277 - 1282. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. Tworetzky, D. B. McElhinney, V. M. Reddy, M. M. Brook, F. L. Hanley, and N. H. Silverman Improved Surgical Outcome After Fetal Diagnosis of Hypoplastic Left Heart Syndrome Circulation, March 6, 2001; 103(9): 1269 - 1273. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. L. Jacobs Editorial: Aortic reconstruction in hypoplastic left heart syndrome--A reappraisal J. Thorac. Cardiovasc. Surg., November 1, 2000; 120(5): 872 - 874. [Full Text] [PDF]
|
|
|
|
|
|
P. C. Jenkins, M. F. Flanagan, K. J. Jenkins, J. D. Sargent, C. E. Canter, R. E. Chinnock, R. N. Vincent, A. N. A. Tosteson, and G. T. O'Connor Survival analysis and risk factors for mortality in transplantation and staged surgery for hypoplastic left heart syndrome J. Am. Coll. Cardiol., October 1, 2000; 36(4): 1178 - 1185. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Malec, K. Januszewska, J. Kolcz, and J. Pajak Factors influencing early outcome of Norwood procedure for hypoplastic left heart syndrome Eur. J. Cardiothorac. Surg., August 1, 2000; 18(2): 202 - 206. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. S. Tweddell, G. M. Hoffman, R. T. Fedderly, N. S. Ghanayem, J. M. Kampine, S. Berger, K. A. Mussatto, and S. B. Litwin Patients at risk for low systemic oxygen delivery after the Norwood procedure Ann. Thorac. Surg., June 1, 2000; 69(6): 1893 - 1899. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. L. Williams, A. C. Gelijns, A. J. Moskowitz, A. D. Weinberg, J. H. Ng, E. Crawford, C. J. Hayes, and J. M. Quaegebeur HYPOPLASTIC LEFT HEART SYNDROME: VALUING THE SURVIVAL J. Thorac. Cardiovasc. Surg., April 1, 2000; 119(4): 720 - 731. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. X. Schmid, C. Kampmann, W. Kuroczynski, Y.-H. Choi, M. Knuf, I. Tzanova, and H. Oelert Adjustable tourniquet to manipulate pulmonary blood flow after Norwood operations Ann. Thorac. Surg., December 1, 1999; 68(6): 2306 - 2309. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. R. Cooper, J. A. Garcia-Prats, and B. A. Brody Managing Disagreements in the Management of Short Bowel and Hypoplastic Left Heart Syndrome Pediatrics, October 1, 1999; 104(4): 48e - 48. [Abstract] [Full Text]
|
|
|
|
|
|
J. Rychik, J. J. Rome, M. H. Collins, W. M. DeCampli, and T. L. Spray The hypoplastic left heart syndrome with intact atrial septum: atrial morphology, pulmonary vascular histopathology and outcome J. Am. Coll. Cardiol., August 1, 1999; 34(2): 554 - 560. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Ishino, O. Stumper, J. J. V. De Giovanni, E. D. Silove, J. G. C. Wright, B. Sethia, W. J. Brawn, and S. M. de Leval THE MODIFIED NORWOOD PROCEDURE FOR HYPOPLASTIC LEFT HEART SYNDROME: EARLY TO INTERMEDIATE RESULTS OF 120 PATIENTS WITH PARTICULAR REFERENCE TO AORTIC ARCH REPAIR J. Thorac. Cardiovasc. Surg., May 1, 1999; 117(5): 920 - 930. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Serraf, J. D. Piot, N. Bonnet, F. Lacour-Gayet, A. Touchot, J. Bruniaux, E. Belli, L. Galletti, and C. Planche Biventricular repair approach in ducto-dependent neonates with hypoplastic but morphologically normal left ventricle J. Am. Coll. Cardiol., March 1, 1999; 33(3): 827 - 834. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. J Sistino Foetal bypass: concepts and controversies Perfusion, March 1, 1998; 13(2): 111 - 117. [Abstract] [PDF]
|
|
|
|
|
|
R. S. Mosca, H. A. Hennein, T. J. Kulik, D. C. Crowley, E. C. Michelfelder, A. Ludomirsky, and E. L. Bove Modified Norwood Operation for Single Left Ventricle and Ventriculoarterial Discordance: An Improved Surgical Technique Ann. Thorac. Surg., October 1, 1997; 64(4): 1126 - 1132. [Abstract] [Full Text]
|
|
|
|
|
|
P. A. Penkoske Hypoplastic Left Heart Syndrome Ann. Thorac. Surg., January 1, 1997; 63(1): 285 - 286. [Full Text]
|
|
|
|
|
|
V. M. Reddy, J. R. Liddicoat, J. R. Fineman, D. B. McElhinney, J. R. Klein, and F. L. Hanley FETAL MODEL OF SINGLE VENTRICLE PHYSIOLOGY: HEMODYNAMIC EFFECTS OF OXYGEN, NITRIC OXIDE, CARBON DIOXIDE, AND HYPOXIA IN THE EARLY POSTNATAL PERIOD J. Thorac. Cardiovasc. Surg., August 1, 1996; 112(2): 437 - 449. [Abstract] [Full Text]
|
|
|
|
|
|
A. J. Razzouk, R. E. Chinnock, S. R. Gundry, J. K. Johnston, R. L. Larsen, M. F. Baum, N. F. Mulla, and L. L. Bailey Transplantation as a Primary Treatment for Hypoplastic Left Heart Syndrome: Intermediate-Term Results Ann. Thorac. Surg., July 1, 1996; 62(1): 1 - 7. [Abstract] [Full Text]
|
|
|
|
|
|
K. Bando, M. W. Turrentine, K. Sun, T. G. Sharp, R. L. Caldwell, R. K. Darragh, G. J. Ensing, T. M. Cordes, T. Flaspohler, and J. W. Brown Surgical Management of Hypoplastic Left Heart Syndrome Ann. Thorac. Surg., July 1, 1996; 62(1): 70 - 76. [Abstract] [Full Text]
|
|
|
|
|
|
M. L. Jacobs, J. Rychik, J. D. Murphy, S. C. Nicolson, J. M. Steven, and W. I. Norwood RESULTS OF NORWOOD'S OPERATION FOR LESIONS OTHER THAN HYPOPLASTIC LEFT HEART SYNDROME J. Thorac. Cardiovasc. Surg., November 1, 1995; 110(5): 1555 - 1562. [Abstract] [Full Text]
|
|
|
|
|
|
J. M. Forbess, N. Cook, S. J. Roth, A. Serraf, J. E. Mayer Jr, and R. A. Jonas Ten-Year Institutional Experience With Palliative Surgery for Hypoplastic Left Heart Syndrome : Risk Factors Related to Stage I Mortality Circulation, November 1, 1995; 92(9): 262 - 266. [Abstract] [Full Text]
|
|
|
|
|
|
R. S. Mosca, E. L. Bove, D. C. Crowley, S. K. Sandhu, M. A. Schork, and T. J. Kulik Hemodynamic Characteristics of Neonates Following First Stage Palliation for Hypoplastic Left Heart Syndrome Circulation, November 1, 1995; 92(9): 267 - 271. [Abstract] [Full Text]
|
|
|
|
|
|
A. Serraf, P. Herve, C. Labat, G.-M. Mazmanian, V. de Montpreville, C. Planche, and C. Brink Endothelial Dysfunction in Venous Pulmonary Hypertension in the Neonatal Piglet Ann. Thorac. Surg., May 1, 1995; 59(5): 1155 - 1161. [Abstract] [Full Text]
|
|
|
|
|
|
P. W. Weldner, J. L. Myers, M. M. Gleason, S. E. Cyran, H. S. Weber, M. G. White, and B. G. Baylen The Norwood operation and subsequent Fontan operation in infants with complex congenital heart disease J. Thorac. Cardiovasc. Surg., April 1, 1995; 109(4): 654 - 662. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
