Norwood Procedure for Palliation of Hypoplastic Left Heart Syndrome: Right Ventricle to Pulmonary Artery Conduit vs Modified Blalock-Taussig Shunt.

Abstract

Patients with hypoplastic left heart syndrome undergo a series of operations to separate the pulmonary and systemic circulations. The first of at least 3 operations occurs in the newborn period, with a stage I palliation. The goal of stage I palliation is to provide pulmonary blood flow and create an unobstructed systemic outflow tract. Advances in surgical techniques and intraoperative and postoperative care have helped decrease morbidity and mortality for patients with hypoplastic left heart syndrome who have the stage I Norwood operation, but the patients continue to be at increased risk for hemodynamic collapse and adverse outcomes. This article discusses risk factors, surgical approach, postoperative nursing and medical management strategies, differences between and outcomes for the Norwood operation with the right ventricle to pulmonary artery conduit and the Norwood operation with a modified Blalock-Taussig shunt.

• Authors: Dorothy M Beke
• Journal: Critical care nurse (Crit Care Nurse) Vol. 36 Issue 6 Pg. 42-51 (Dec 2016) ISSN: 1940-8250 [Electronic] United States
• PMID: 27908945 (Publication Type: Comparative Study, Journal Article, Review)
• Copyright: ©2016 American Association of Critical-Care Nurses.

Topics

• Blalock-Taussig Procedure (methods, mortality)
• Female
• Follow-Up Studies
• Heart Transplantation (methods)
• Hemodynamics (physiology)
• Humans
• Hypoplastic Left Heart Syndrome (diagnosis, mortality, surgery)
• Infant
• Infant, Newborn
• Male
• Norwood Procedures (methods, mortality)
• Palliative Care (methods)
• Postoperative Care (methods)
• Survival Analysis
• Time Factors
• Treatment Outcome