Norwood procedure for hypoplastic left heart syndrome: BT shunt or RV-PA conduit?

L Edwards, Kevin Morris, A Siddiqui, D Harrington, David Barron, William Brawn

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

BACKGROUND: The Norwood procedure is the first stage palliative procedure for hypoplastic left heart syndrome (HLHS). Traditionally the pulmonary circulation has been supplied via a modified Blalock Taussig (BT) shunt but a recent modification, adopted in some UK centres, substitutes a conduit between right ventricle and pulmonary arteries (RV-PA conduit). It is argued that this will result in a more favourable balance between pulmonary and systemic circulations. AIM: To compare the early postoperative haemodynamic profile between patients undergoing a BT shunt or an RV-PA conduit. METHODS: Retrospective review in a tertiary referral PICU of 51 children with HLHS undergoing the Norwood procedure with either a BT shunt (Group 1; n = 23) or an RV-PA conduit (Group 2; n = 28). Data items were extracted at 10 set time points in the initial 96 h, postoperatively. RESULTS: Diastolic BP was significantly lower in Group 1 (p
Original languageEnglish
Pages (from-to)F210-4
JournalArchives of disease in childhood. Fetal and neonatal edition
Volume92
Issue number3
DOIs
Publication statusPublished - 1 May 2007

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