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
Hauptverfasser: 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
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container_end_page e105
container_issue 5
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container_title The Annals of thoracic surgery
container_volume 98
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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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
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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