Modified Norwood Procedure for Tricuspid Atresia, Transposition of Great Arteries, and Hypoplastic Right Arch With Complete Vascular Ring.

Hsu, Chan-Yang; Shih, Jin-Chung; Chen, Shyh-Jye; Wu, En-Ting; Lu, Chun-Wei; Chen, Yih-Sharng; Huang, Shu-Chien · Ann Thorac Surg · 2016

case_report · Level V

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Abstract

We report a modified Norwood stage I procedure for tricuspid atresia, transposition of great arteries, and hypoplastic right aortic arch with complete vascular ring. In this technique, we applied dual arterial cannulation to avoid circulation arrest during neoaortic reconstruction, and also corrected the arch laterality during the Norwood stage I palliation procedure. Pulmonary flow was supplied by the Blalock-Taussig shunt. Postoperative imaging revealed the patent left neoaortic arch, and the vascular ring was relieved with a patent tracheobronchial tree.

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