Back to Search
Start Over
Norwood procedure with right ventricle to pulmonary artery conduit: a single-centre 20-year experience
- Source :
- European Journal of Cardio-Thoracic Surgery. 59(4):230-236
- Publication Year :
- 2020
- Publisher :
- Oxford University Press (OUP), 2020.
-
Abstract
- OBJECTIVES The aim of this study was to evaluate the long-term outcomes of the Norwood procedure with right ventricle–pulmonary artery (RV–PA) conduit for hypoplastic left heart complex. METHODS A retrospective observational study was performed in 136 patients with hypoplastic left heart complex who underwent a Norwood procedure with RV–PA conduit between 1998 and 2017. The probabilities of survival, reintervention and Fontan completion were analysed. RESULTS Stage 1 survival was 91.9% (125/136). Reintervention for PA stenosis was needed for 22% and 30% at stages 2 and 3, respectively, while 15% underwent reintervention for aortic arch recoarctation. Among 106 bidirectional Glenn survivors, 93 (68% of the total number of patients) had a Fontan completion, while 4 were not considered to be Fontan candidates. Risk factors for overall mortality included weighing CONCLUSIONS Probabilities of survival and Fontan completion were acceptable under the current surgical strategy incorporating RV–PA Norwood procedure as the first palliation. Incorporating a strategy to maintain PA growth and ventricular function through the staged repair is of prime importance. Further studies are necessary to observe changes in atrioventricular regurgitation as well as in right ventricular function, in patients who require atrioventricular valve interventions during the staged Fontan completion.
- Subjects :
- Pulmonary and Respiratory Medicine
Aortic arch
medicine.medical_specialty
Fontan completion
medicine.medical_treatment
Heart Ventricles
Tricuspid regurgitation
Pulmonary Artery
Fontan Procedure
Norwood Procedures
Hypoplastic left heart syndrome
RV-PA conduit
Fontan procedure
medicine.artery
Norwood
Hypoplastic Left Heart Syndrome
Medicine
Humans
cardiovascular diseases
Hypoplastic left heart complex
Retrospective Studies
Atrioventricular valve
business.industry
Pulmonary artery stenosis
General Medicine
medicine.disease
Surgery
medicine.anatomical_structure
Treatment Outcome
Pulmonary artery
cardiovascular system
Norwood procedure
Cardiology and Cardiovascular Medicine
business
Artery
Subjects
Details
- Language :
- English
- ISSN :
- 10107940
- Volume :
- 59
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- European Journal of Cardio-Thoracic Surgery
- Accession number :
- edsair.doi.dedup.....411a944cf1e5fe149e8cf995b2121e83