Neonatal bronchial reconstruction after Norwood procedure for hypoplastic left heart syndrome.

Gaughan, Colleen B; Nguyen, Dao; Ricci, Marco · Ann Thorac Surg · 2009

case_report · Level V

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Abstract

Left bronchial obstruction is a rare complication after neonatal aortic arch reconstruction. This article describes the surgical management of a neonate with hypoplastic left heart syndrome who underwent a stage 1 Norwood reconstruction. A mediastinal infection developed with an abscess that caused left bronchial obstruction and disruption. The left bronchus was repaired successfully by using a pedicle intercostal muscle flap that was used to cover the defect.

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