The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 6 , Pages 1342-1348 , June 2009

Differential branch pulmonary artery growth after the Norwood procedure with right ventricle–pulmonary artery conduit versus modified Blalock–Taussig shunt in hypoplastic left heart syndrome

  • Jay D. Pruetz, MD

      Affiliations

    • Heart Institute, Children's Hospital Los Angeles, Los Angeles, Calif. Division of Cardiology, Keck School of Medicine, University of Southern California, Los Angeles, Calif
    • Corresponding Author InformationAddress for reprints: Jay D. Pruetz, MD, Division of Cardiology MS#34, 4650 Sunset Blvd, Los Angeles, CA 90027.
    • ,
  • Sarah Badran, MD

      Affiliations

    • Heart Institute, Children's Hospital Los Angeles, Los Angeles, Calif. Division of Cardiology, Keck School of Medicine, University of Southern California, Los Angeles, Calif
    • ,
  • Fred Dorey, PhD

      Affiliations

    • Heart Institute, Children's Hospital Los Angeles, Los Angeles, Calif. Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, Calif
    • ,
  • Vaughn A. Starnes, MD

      Affiliations

    • Heart Institute, Children's Hospital Los Angeles, Los Angeles, Calif. Division of Cardiothoracic Surgery, Department of Cardiothoracic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, Calif
    • ,
  • Alan B. Lewis, MD

      Affiliations

    • Heart Institute, Children's Hospital Los Angeles, Los Angeles, Calif. Division of Cardiology, Keck School of Medicine, University of Southern California, Los Angeles, Calif

Received 5 June 2008 ,Revised 17 October 2008 ,Accepted 9 March 2009.

References 

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  2. Norwood WI, Lang P, Hansen DD. Physiologic repair of aortic atresia–hypoplastic left heart syndrome. N Engl J Med. 1983;308:23–26
  3. Sano S, Ishino K, Kawada M, Arai S, Kasahara S, Asai T, et al. Right ventricle–pulmonary artery shunt in first-stage palliation of hypoplastic left heart syndrome. J Thorac Cardiovasc Surg. 2003;126:504–510
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  7. Maher KO, Pizarro C, Gidding SS, Januszewska K, Malec E, Norwood WI, et al. Hemodynamic profile after the Norwood procedure with right ventricle to pulmonary artery conduit. Circulation. 2003;108:782–784
  8. Januszewska K, Kołcz J, Mroczek T, Procelewska M, Malec E. Right ventricle-to-pulmonary artery shunt and modified Blalock–Taussig shunt in preparation to hemi-Fontan procedure in children with hypoplastic left heart syndrome. Eur J Cardiothorac Surg. 2005;27:956–961
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  10. Pizarro C, Norwood WI. Right ventricle to pulmonary artery conduit has a favorable impact on postoperative physiology after Stage I Norwood: preliminary results. Eur J Cardiothorac Surg. 2003;23:991–995
  11. Bradley SM, Simsic JM, McQuinn TC, Habib DM, Shirali GS, Atz AM. Hemodynamic status after the Norwood procedure: a comparison of right ventricle-to-pulmonary artery connection versus modified Blalock–Taussig shunt. Ann Thorac Surg. 2004;78:933–941
  12. Ohye RG, Ludomirsky A, Devaney EJ, Bove EL. Comparison of right ventricle to pulmonary artery conduit and modified Blalock–Taussig shunt hemodynamics after the Norwood operation. Ann Thorac Surg. 2004;78:1090–1093
  13. Rumball EM, McGuirk SP, Stumper O, Laker SJ, de Giovanni JV, Wright JG, et al. The RV–PA conduit stimulates better growth of the pulmonary arteries in hypoplastic left heart syndrome. Eur J Cardiothorac Surg. 2005;27:801–806
  14. Tchervenkov CI, Chedrawy EG, Korkola SJ. Fontan operation for patients with severe distal pulmonary artery stenosis, atresia or a single lung. Semin Thorac Cardiovasc Surg Pediatr Cardiol Surg Annu. 2002;5:68–75
  15. Alboliras ET, Chin AJ, Barber G, Helton JG, Pigott JD, Norwood WI. Pulmonary artery configuration after palliative operations for hypoplastic left heart syndrome. J Thorac Cardiovasc Surg. 1989;97:878–885
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  20. Graham EM, Atz AM, Bradley SM, Scheurer MA, Bandisode VM, Laudito A, et al. Does a ventriculotomy have deleterious effects following palliation in the Norwood procedure using a shunt placed from the right ventricle to the pulmonary arteries?. Cardiol Young. 2007;17:145–150
  21. Batra AS, Starnes VA, Wells WJ. Does the site of insertion of a systemic–pulmonary shunt influence growth of the pulmonary arteries?. Ann Thorac Surg. 2005;79:636–640
  22. Lai L, Laussen PC, Cua CL, Wessel DL, Costello JM, del Nido PJ, et al. Outcomes after bidirectional Glenn operation: Blalock–Taussig shunt versus right ventricle–to–pulmonary artery conduit. Ann Thorac Surg. 2007;83:1768–1773
  23. Ghanayem NS, Hoffman GM, Mussatto KA, Cava JR, Frommelt PC, Rudd NA, et al. Home surveillance program prevents interstage mortality after the Norwood procedure. J Thorac Cardiovasc Surg. 2003;126:1367–1377
  24. Senzaki H, Isoda T, Ishizawa A, Hishi T. Reconsideration of criteria for the Fontan operation. Influence of pulmonary artery size on postoperative hemodynamics of the Fontan operation. Circulation. 1994;89:1196–1202
  25. Hosein RB, Clarke AJ, McGuirk SP, Griselli M, Stumper O, De Giovanni JV, et al. Factors influencing early and late outcome following the Fontan procedure in the current era. The ‘Two Commandments’?. Eur J Cardiothorac Surg. 2007;31:344–353
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 Supported by the Paige Bronchick Clinical Scholar Fellowship Award.

 Read at the Thirty-fourth Annual Meeting of The Western Thoracic Surgical Association, Kona, Hawaii, June 25–28, 2008.

PII: S0022-5223(09)00417-6

doi: 10.1016/j.jtcvs.2009.03.019

The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 6 , Pages 1342-1348 , June 2009

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