Beating-heart surgery for hypoplastic left heart syndrome with coronary artery fistulas.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 25441826.
- Also identified by DOI 10.1016/j.athoracsur.2014.06.112.
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Abstract
The presence of ventriculocoronary connections in patients with hypoplastic left heart syndrome and mitral stenosis-aortic atresia is a suggested risk factor for myocardial ischemia after surgical palliation. We describe a neonate with this anatomic variant of hypoplastic left heart syndrome who underwent a successful beating-heart Norwood operation, with continuous coronary perfusion. The ventricular condition could be visually confirmed during the procedure, and a postoperative echocardiogram showed preserved ventricular function. This technique is considered an effective option for minimizing myocardial damage in this patient subtype.
Medical subject headings
- Coronary Vessel Anomalies
- Coronary Vessels
- Hypoplastic Left Heart Syndrome
- Norwood Procedures
- Vascular Fistula