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J Thorac Cardiovasc Surg 2007;134:516-518
© 2007 The American Association for Thoracic Surgery

Brief Communication

Hybrid approach as a bridging procedure to biventricular repair for aortic hypoplasia with ventricular septal defect in a 1720-g premature infant

Pedro Betrián Blasco, MD^a,_*, Josep Girona Comas, MD^a, Arturo Gonalves Estella, MD^b, Queralt Ferrer Menduña, MD^a, María Concepción Céspedes Dominguez, MD^c, Joan Balcells Ramirez, MD^d, Begoña Manso García, MD^a, Ferrán Gran Ipiña, MD^a

^a Pediatric Cardiology and Hemodynamics Department, "Valle de Hebrón Hospital," Barcelona, Spain
^b Pediatric Cardiac Surgery Department, "Valle de Hebrón Hospital," Barcelona, Spain
^c Neonatology, "Valle de Hebrón Hospital," Barcelona, Spain
^d Pediatric Intensive Care Unit, "Valle de Hebrón Hospital," Barcelona, Spain.

Received for publication March 22, 2007; revisions received April 16, 2007; accepted for publication April 23, 2007.

^_* Address for reprints: Pedro Betrián Blasco, MD, C/^a Arquitecto Moragas 18 esc a 4° 2a, Barcelona CP 08035, Spain. (Email: pedrobetrian@yahoo.es).

The first 20% of the full text of this article appears below.

Hypoplastic left heart syndrome varies from mitroaortic atresia and a diminutive left ventricle to milder forms of mitroaortic stenosis with a reasonable-sized left ventricle.

Clinical Summary

A female infant with fetal diagnosis of aortic atresia was born at 34 weeks of gestation weighing 1620 g. At birth, echocardiography was carried out, showing a double-outlet right ventricle with great vessels side to side and aorta on the right and a large subpulmonary ventricular septal defect. The aorta was extremely hypoplastic, with a minimal anterograde blood flow. The aortic arch was also hypoplastic and filled with retrograde blood flow from the ductus. The left ventricle and mitral valve were in normal values. Prostaglandin E₁ infusion was started.

When she was 25 days old, weighing 1720 g, a median sternotomy was performed. First, pulmonary artery branches were banded at their origin (polytetrafluoroethylene bands,_^* diameter of 2.8 mm). Next, two self-expandable stents (6 x 12/6 x 18 mm) were placed through the main pulmonary artery puncture to . . . [Full Text of this Article]