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Ivan M. Rebeyka
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J Thorac Cardiovasc Surg 2009;137:765-766
© 2009 The American Association for Thoracic Surgery

Brief Communication

Rapid extracorporeal life support rescue in patients undergoing the Norwood procedure

Nathalie Roy, MDa,*, Ivan M. Rebeyka, MDa, Joseph Atallah, MDb, David B. Ross, MDa

a Division of Cardiac Surgery, Stollery Children's Hospital and University of Alberta, Edmonton, Alberta, Canada
b Division of Pediatric Cardiology, Stollery Children's Hospital and University of Alberta, Edmonton, Alberta, Canada

Received for publication November 21, 2007; accepted for publication December 24, 2007.

* Address for reprints: Nathalie Roy, MD, 2D4.37 Walter C. MacKenzie Centre 8440-112 St, Edmonton, Alberta, Canada, T6G 2B7. (Email: nroy1@ualberta.ca).

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

Neonates undergoing the Norwood stage I procedure are susceptible to postoperative hemodynamic instability, low cardiac output, and sudden cardiac arrest. The outcome of rescue extracorporeal life support (ECLS) after the stage I procedure is likely improved when deployment can be achieved in an efficient manner. We describe a simple and rapid technique of arterial cannulation for rescue ECLS using a 3 mm polytetrafluoroethylene (PTFE) graft based on a technique of selective intraoperative arterial perfusion during the aortic arch reconstruction.

Clinical Summary

The perfusion strategy for the Norwood stage I procedure with a right ventricle–pulmonary artery (RV–PA) shunt1Go uses an 8F arterial cannula (Medtronic, Minneapolis, Minn) inserted within a 3 mm PTFE graft (W.L. Gore and Associates, Newark, Del) anastomosed to the innominate artery.2Go A period . . . [Full Text of this Article]


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Proximal brachiocephalic artery access for arterial cannulation: Value and technical issues
Benjamin B. Peeler
J. Thorac. Cardiovasc. Surg. 2009 138: 789. [Extract] [Full Text] [PDF]



This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
B. B. Peeler
Proximal brachiocephalic artery access for arterial cannulation: Value and technical issues
J. Thorac. Cardiovasc. Surg., September 1, 2009; 138(3): 789 - 789.
[Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
N. Roy, I. M. Rebeyka, J. Atallah, and D. B. Ross
Reply to the Editor
J. Thorac. Cardiovasc. Surg., September 1, 2009; 138(3): 789 - 790.
[Full Text] [PDF]


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