Modified Norwood Procedure without Circulatory Arrest and Myocardial Ischemia: Report of 2 cases.
- Author:
Man Jong BAEK
1
;
Woong Han KIM
;
Yang Bin JEON
;
Soo Cheol KIM
;
Joon Hyuk KONG
;
Jae Wook RYU
;
Sam Se OH
;
Chan Young NAH
;
Yang Min KIM
;
Jae Young LEE
;
Seog Ki LEE
;
Wook Sung KIM
;
Chang Ha LEE
;
Young Tak LEE
;
Yong Woong YOON
;
Young Kwan PARK
;
Chong Whan KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute, Puchon, Korea. woonghan@korea.com
- Publication Type:Case Report
- Keywords:
Heart arrest, indnced;
Total circulatory arrest, indnced;
Norwood procedure;
Surgery method;
Catheterization, peripheral
- MeSH:
Aorta, Thoracic;
Aortic Coarctation;
Arteries;
Brachiocephalic Trunk;
Brain;
Catheterization, Peripheral;
Catheters;
Constriction, Pathologic;
Double Outlet Right Ventricle;
Female;
Humans;
Hypoplastic Left Heart Syndrome;
Hypothermia;
Male;
Myocardial Ischemia*;
Myocardium;
Norwood Procedures*;
Perfusion
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2001;34(7):547-551
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The effects of deep hypothermia and circulatory arrest during aortic arch reconstruction are associated with potential neurologic and myocardial injury. We describe a surgical technique that two patients underwent a modified Norwood procedure without circulatory arrest and myocardial ischemia. One was 13-day-old female patient, weighing 3.1kg, having a variant of hypoplastic left heart syndrome and another was 38-day-old male patient, weighing 3.4 kg, diagnosed Taussig-Bing anomaly with severe aortic arch hypoplasia, coarctation of the aorta, and subaortic stenosis. The arterial cannula was inserted in innominate artery directly. During Norwood reconstruction, regional high-flow perfusion into the inominate artery and coronary perfusion were maintained and there were no neurologic, cardiac, and renal complications in two patients. This technique may help protect the brain and myocardium from ischemic injury in patients with hypoplastic left heart syndrome or other arch anomalies including coarctation or interruption.
