Hybrid approach facilitates use of a minimized CPB circuit and transfusion free surgery in an extended Norwood stage II procedure.

Abstract

Intraoperative stent implantation into a stenotic left pulmonary artery branch and surgical creation of a bidirectional Glenn anastomosis resulted in avoidance of aortic cross-clamping and transection of the aorta for surgical patching of the pulmonary artery. The hybrid approach thereby reduced the complexity of the surgical procedure, facilitated the use of a minimized cardiopulmonary bypass circuit, reduced the degree of hemodilution and blood trauma and resulted in transfusion-free surgery and excellent clinical outcome in an 11 kg child.

• Authors: Michael Huebler, Wolfgang Boettcher, Andreas Koster, Roland Hetzer, Peter Ewert, Felix Berger
• Journal: Journal of cardiac surgery (J Card Surg) 2007 Nov-Dec Vol. 22 Issue 6 Pg. 508-10 ISSN: 0886-0440 [Print] United States
• PMID: 18039215 (Publication Type: Case Reports, Journal Article)

Topics

• Anastomosis, Surgical
• Aorta (surgery)
• Blood Transfusion
• Cardiac Surgical Procedures (methods)
• Cardiopulmonary Bypass (methods)
• Child, Preschool
• Humans
• Male
• Pulmonary Artery (surgery)
• Thoracic Surgery (methods)
• Treatment Outcome
• Vena Cava, Superior (surgery)