HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Norwood, W. I. Articles by Murphy, J. D. Search for Related Content PubMed PubMed Citation Articles by Norwood, W. I. Articles by Murphy, J. D.

The Journal of Thoracic and Cardiovascular Surgery, Vol 86, 771-776, Copyright © 1983 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Management of infants with left ventricular outflow obstruction by conduit interposition between the ventricular apex and thoracic aorta

WI Norwood, P Lang, AR Castaneda and JD Murphy

On the basis of experience with older children, creation of a double- outlet ventricle by interposition of a valved conduit between the apex of the left ventricle and the thoracic aorta appeared to be an option for treating life-threatening left ventricular outflow tract obstruction even in the small heart of the infant. Over the recent 3 year period, nine infants ranging in age from 3 days to 13 months with various forms of left ventricular outflow tract obstruction underwent placement of an apical-aortic conduit to decompress the hypertensive left ventricle. There were two early and two late deaths. Five patients are clinically well and developing normally 5 to 23 months following the operation. This series demonstrates that this operation permits normal growth and development in infants previously failing to thrive. Echocardiographic and cardiac catheterization data suggest that left ventricular function need not be adversely affected by placement of a stent in the small infant ventricle; rather, ventricular function can be markedly improved. Although the mortality in this series is appreciable, it appears that apical-aortic conduit interposition can provide significant palliation for infants with otherwise lethal left ventricular outflow tract obstruction.

This article has been cited by other articles:

				P. K. Mishra Management strategies for interrupted aortic arch with associated anomalies Eur J Cardiothorac Surg, April 1, 2009; 35(4): 569 - 576. [Abstract] [Full Text] [PDF]

				J. W. Brown, M. Ruzmetov, A. C. Fiore, M. D. Rodefeld, D. A. Girod, and M. W. Turrentine Long-Term Results of Apical Aortic Conduits in Children With Complex Left Ventricular Outflow Tract Obstruction Ann. Thorac. Surg., December 1, 2005; 80(6): 2301 - 2308. [Abstract] [Full Text] [PDF]

				A. Azakie, D. Martinez, A. Sapru, J. Fineman, D. Teitel, and T. R. Karl Impact of right ventricle to pulmonary artery conduit on outcome of the modified norwood procedure Ann. Thorac. Surg., May 1, 2004; 77(5): 1727 - 1733. [Abstract] [Full Text] [PDF]

				V. A. Starnes, G. B. Luciani, W. J. Wells, R. B. Allen, and A. B. Lewis Aortic Root Replacement With the Pulmonary Autograft in Children With Complex Left Heart Obstruction Ann. Thorac. Surg., August 1, 1996; 62(2): 442 - 448. [Abstract] [Full Text]

				G. B. Luciani, R. J. Ackerman, A. C. Chang, W. J. Wells, and V. A. Starnes ONE-STAGE REPAIR OF INTERRUPTED AORTIC ARCH, VENTRICULAR SEPTAL DEFECT, AND SUBAORTIC OBSTRUCTION IN THE NEONATE: A NOVEL APPROACH J. Thorac. Cardiovasc. Surg., February 1, 1996; 111(2): 348 - 358. [Abstract] [Full Text]

				H. M. F. Al-Marsafawy, S. Y. Ho, A. N. Redington, and R. H. Anderson The relationship of the outlet septum to the aortic outflow tract in hearts with interruption of the aortic arch J. Thorac. Cardiovasc. Surg., June 1, 1995; 109(6): 1225 - 1236. [Abstract] [Full Text]

				S. Y. DeLeon, M. N. Ilbawi, R. A. Arcilla, O. G. Thilenius, J. A. Quinones, E. C. Duffy, and R. F. Sulayman Transatrial relief of diffuse subaortic stenosis after ventricular septal defect closure Ann. Thorac. Surg., March 1, 1990; 49(3): 429 - 434. [Abstract] [PDF]

				M. Iwahara, T. Ino, K. Nishimoto, I. Park, K. Akimoto, S. Shimazaki, K. Yabuta, A. Tanaka, and Y. Hosoda Clinical features of aortic arch anomaly with malalignment ventricular septal defect Ann. Thorac. Surg., November 1, 1989; 48(5): 693 - 696. [Abstract] [PDF]

				M. N. Ilbawi, F. S. Idriss, S. Y. DeLeon, A. J. Muster, D. W. Benson Jr., and M. H. Paul Surgical Management of Patients with Interrupted Aortic Arch and Severe Subaortic Stenosis Ann. Thorac. Surg., February 1, 1988; 45(2): 174 - 180. [Abstract] [PDF]

				D. M. Behrendt and A. Rocchini Relief of Left Ventricular Outflow Tract Obstruction in Infants and Small Children with Valved Extracardiac Conduits Ann. Thorac. Surg., January 1, 1987; 43(1): 82 - 86. [Abstract] [PDF]

				R. A. Jonas, A. R. Castaneda, and P. Lang Single Ventricle (Single- or Double-Inlet) Complicated by Subaortic Stenosis: Surgical Options in Infancy Ann. Thorac. Surg., April 1, 1985; 39(4): 361 - 366. [Abstract] [PDF]