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

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Christopher A. Caldarone Osami Honjo Glen S. Van Arsdell Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Caldarone, C. A. Articles by Van Arsdell, G. S. Search for Related Content PubMed Articles by Caldarone, C. A. Articles by Van Arsdell, G. S.

J Thorac Cardiovasc Surg 2007;134:1588-1589
© 2007 The American Association for Thoracic Surgery

Brief Communication

Modification of stage II procedure after hybrid palliation (bilateral pulmonary artery banding and ductal stenting) for hypoplastic left-sided heart syndrome: Modified arch reconstruction with retained stented ductus patch

Hospital for Sick Children, Toronto, Ontario, Canada.

Received for publication August 3, 2007; accepted for publication August 14, 2007.

^_* Address for reprints: Christopher Caldarone, MD, Division of Cardiovascular Surgery, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8. (Email: christopher.caldarone@sickkids.ca).

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

Bilateral pulmonary artery banding and ductal stenting can be used as a "hybrid" alternative to Norwood-based management for the palliation of neonates with single ventricle physiology.¹ By using the hybrid strategy, first-stage palliation defers cardiopulmonary bypass and arch reconstruction to a second-stage procedure at 4 to 6 months of age. At the second stage, distal aortic arch reconstruction is more difficult than a neonatal Norwood reconstruction because the ductal stent often extends into the descending aorta.

The requirement for resection of all ductal tissue is based on observations that ductus tissue is friable, does not suture well, and will contract after cessation of prostaglandins. After 4 to 6 months, however, stented ductal tissue is robust and handles sutures well. Consequently, the necessity of removing all stented ductal tissue can be questioned.

This report describes a simplified hybrid second-stage procedure that . . . [Full Text of this Article]

This article has been cited by other articles:

				K. Kitahori, A. Murakami, T. Takaoka, S. Takamoto, and M. Ono Precise evaluation of bilateral pulmonary artery banding for initial palliation in high-risk hypoplastic left heart syndrome J. Thorac. Cardiovasc. Surg., November 1, 2010; 140(5): 1084 - 1091. [Abstract] [Full Text] [PDF]

				O. Honjo, L. N. Benson, H. E. Mewhort, D. Predescu, H. Holtby, G. S. Van Arsdell, and C. A. Caldarone Clinical Outcomes, Program Evolution, and Pulmonary Artery Growth in Single Ventricle Palliation Using Hybrid and Norwood Palliative Strategies Ann. Thorac. Surg., June 1, 2009; 87(6): 1885 - 1893. [Abstract] [Full Text] [PDF]