Beating-Heart Surgery for Hypoplastic Left Heart Syndrome With Coronary Artery Fistulas
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 und...
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Veröffentlicht in: | The Annals of thoracic surgery 2014-11, Vol.98 (5), p.e103-e105 |
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container_title | The Annals of thoracic surgery |
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creator | Matsushima, Shunsuke, MD Oshima, Yoshihiro, MD, PhD Maruo, Ayako, MD, PhD Hasegawa, Tomomi, MD, PhD Matsuhisa, Hironori, MD, PhD Noda, Rei, MD Iwaki, Ryuma, MD |
description | 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. |
doi_str_mv | 10.1016/j.athoracsur.2014.06.112 |
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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.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2014.06.112</identifier><identifier>PMID: 25441826</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Anastomosis, Surgical - methods ; Cardiothoracic Surgery ; Coronary Vessel Anomalies - diagnostic imaging ; Coronary Vessel Anomalies - surgery ; Coronary Vessels - diagnostic imaging ; Coronary Vessels - surgery ; Echocardiography, Doppler, Color ; Follow-Up Studies ; Humans ; Hypoplastic Left Heart Syndrome - diagnostic imaging ; Hypoplastic Left Heart Syndrome - surgery ; Infant, Newborn ; Male ; Norwood Procedures - methods ; Surgery ; Vascular Fistula - diagnostic imaging ; Vascular Fistula - surgery</subject><ispartof>The Annals of thoracic surgery, 2014-11, Vol.98 (5), p.e103-e105</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2014 The Society of Thoracic Surgeons</rights><rights>Copyright © 2014 The Society of Thoracic Surgeons. 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This technique is considered an effective option for minimizing myocardial damage in this patient subtype.</description><subject>Anastomosis, Surgical - methods</subject><subject>Cardiothoracic Surgery</subject><subject>Coronary Vessel Anomalies - diagnostic imaging</subject><subject>Coronary Vessel Anomalies - surgery</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Coronary Vessels - surgery</subject><subject>Echocardiography, Doppler, Color</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Hypoplastic Left Heart Syndrome - diagnostic imaging</subject><subject>Hypoplastic Left Heart Syndrome - surgery</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Norwood Procedures - methods</subject><subject>Surgery</subject><subject>Vascular Fistula - diagnostic imaging</subject><subject>Vascular Fistula - surgery</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcFuEzEQhi1ERUPhFdAeuewy9q7t-ILURrRBitRDQT1ajnfcOmzWwfYi5e3rVQJInDhZlv9vZvwNIRWFhgIVn3aNyc8hGpum2DCgXQOioZS9IgvKOasF4-o1WQBAW3dK8kvyNqVdubLy_IZcMt51dMnEgjzeoMl-fKrXaGKuHqb4hPFYuRCr9fEQDoNJ2dtqgy5X58hx7GPYY_Xo83O1CjGMphDXMc_grU95KtA7cuHMkPD9-bwi32-_fFut68393dfV9aa2HVO57qlphZSScQlbu3W9YxTAMHDKOIVGCS4YXVKQIBHUVvQSpXCSwbKlyrr2inw81T3E8HPClPXeJ4vDYEYMU9JUMKW45BxKdHmK2hhSiuj0Ifp9mV1T0LNWvdN_tepZqwahi9aCfjh3mbZ77P-Avz2WwM0pgOWvvzxGnazH0WLvI9qs--D_p8vnf4rYwY_emuEHHjHtwhTH4lJTnZgG_TCvd94u7YByqmT7ApOSovg</recordid><startdate>20141101</startdate><enddate>20141101</enddate><creator>Matsushima, Shunsuke, MD</creator><creator>Oshima, Yoshihiro, MD, PhD</creator><creator>Maruo, Ayako, MD, PhD</creator><creator>Hasegawa, Tomomi, MD, PhD</creator><creator>Matsuhisa, Hironori, MD, PhD</creator><creator>Noda, Rei, MD</creator><creator>Iwaki, Ryuma, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20141101</creationdate><title>Beating-Heart Surgery for Hypoplastic Left Heart Syndrome With Coronary Artery Fistulas</title><author>Matsushima, Shunsuke, MD ; 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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.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>25441826</pmid><doi>10.1016/j.athoracsur.2014.06.112</doi></addata></record> |
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subjects | Anastomosis, Surgical - methods Cardiothoracic Surgery Coronary Vessel Anomalies - diagnostic imaging Coronary Vessel Anomalies - surgery Coronary Vessels - diagnostic imaging Coronary Vessels - surgery Echocardiography, Doppler, Color Follow-Up Studies Humans Hypoplastic Left Heart Syndrome - diagnostic imaging Hypoplastic Left Heart Syndrome - surgery Infant, Newborn Male Norwood Procedures - methods Surgery Vascular Fistula - diagnostic imaging Vascular Fistula - surgery |
title | Beating-Heart Surgery for Hypoplastic Left Heart Syndrome With Coronary Artery Fistulas |
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