The Journal of Thoracic and Cardiovascular Surgery
Volume 140, Issue 3 , Pages 545-549 , September 2010

Reintervention for arch obstruction after stage 1 reconstruction does not adversely affect survival or outcome at Fontan completion

Read at the Thirty-fifth Annual Meeting of the Western Thoracic Surgical Association, June 27, 2009, Banff, Alberta, Canada.

  • Jean A. Ballweg, MD

      Affiliations

    • Children's Hospital of Philadelphia, Philadelphia, Pa
    • Corresponding Author InformationAddress for reprints: Jean A. Ballweg, MD, Department of Pediatrics, Division of Pediatric Cardiology, The University of Tennessee, Le Bonheur Children's Hospital, 777 Washington Ave, Memphis, TN 38103.
    • ,
  • Troy E. Dominguez, MD

      Affiliations

    • Children's Hospital of Philadelphia, Philadelphia, Pa
    • ,
  • Sarah Tabbutt, MD, PhD

      Affiliations

    • University of California San Francisco, San Francisco, Calif
    • ,
  • Jonathan J. Rome, MD

      Affiliations

    • Children's Hospital of Philadelphia, Philadelphia, Pa
    • ,
  • J. William Gaynor, MD

      Affiliations

    • Children's Hospital of Philadelphia, Philadelphia, Pa
    • ,
  • Susan C. Nicolson, MD

      Affiliations

    • Children's Hospital of Philadelphia, Philadelphia, Pa
    • ,
  • Thomas L. Spray, MD

      Affiliations

    • Children's Hospital of Philadelphia, Philadelphia, Pa
    • ,
  • Chitra Ravishankar, MD

      Affiliations

    • Children's Hospital of Philadelphia, Philadelphia, Pa

Received 19 June 2009 ,Revised 13 May 2010 ,Accepted 6 June 2010.

References 

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  2. Bove EL. Current status of staged reconstruction for hypoplastic left heart syndrome. Pediatr Cardiol. 1998;19:308–315
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  8. Chessa M, Dindar A, Vettukattil JJ, Stumper O, Wright JGC, Silove ED, et al. Balloon angioplasty in infants with aortic obstruction after the modified stage I Norwood procedure. Am Heart J. 2000;140:227–231
  9. Zellers TM. Balloon angioplasty for recurrent coarctation of the aorta in patients following staged palliation for hypoplastic left heart syndrome. Am J Cardiol. 1999;84:231–233
  10. Ishino K, Stumper O, De Giovanni JJ, Silove ED, Wright JG, Sethia B, et al. The modified Norwood procedure for hypoplastic left heart syndrome: early to intermediate results of 120 patients with particular reference to aortic arch repair. J Thorac Cardiovasc Surg. 1999;117:920–930
  11. Meliones JN, Snider R, Bove EL, Rosenthal A, Rosen DA. Longitudinal results after first-stage palliation for hypoplastic left heart syndrome. Circulation. 1990;82(Suppl IV):IV151–IV156
  12. Murdison KA, Baffa JM, Farrell PE, Chang AC, Barber G, Norwood WI, et al. Hypoplastic left heart syndrome. Outcome after initial reconstruction and before modified Fontan procedure. Circulation. 1990;82(Suppl IV):IV199–IV207
  13. Tworetzky W, McElhinney DB, Burch GH, Teitel DF, Moore P. Balloon arterioplasty of recurrent coarctation after the modified Norwood procedure in infants. Cathet Cardiovasc Interv. 2000;50:54–58
  14. Zeltser I, Menteer J, Gaynor JW, Spray TL, Clark BJ, Kreutzer J, et al. Impact of recoarctation following the Norwood operation on survival in the balloon angioplasty era. J Am Coll Cardiol. 2005;45:1844–1848
  15. Larrazabal LA, Tierney ESS, Brown DW, Gauvreau K, Vida VL, Bergersen L, et al. Ventricular function deteriorates with recurrent coarctation in hypoplastic left heart syndrome. Ann Thorac Surg. 2008;86:869–874
  16. Bartram U, Grunenfelder J, Van Praagh R. Causes of death after the modified Norwood procedure: a study of 122 postmortem cases. Ann Thorac Surg. 1997;64:1795–1802
  17. Tabbutt S, Dominguez TE, Ravishankar C, Marino BS, Gruber PJ, Wernovsky G, et al. Outcomes after the stage I reconstruction comparing the right ventricular to pulmonary artery conduit with the modified Blalock Taussig shunt. Ann Thorac Surg. 2005;80:1582–1590
  18. Ballweg JA, Dominguez TE, Ravishankar C, Gaynor JW, Nicolson SC, Spray TL, et al. A contemporary comparison of the effect of shunt type in hypoplastic left heart syndrome on the hemodynamics and outcome at Fontan completion. J Thorac Cardiovasc Surg. 2010;140:537–544
  19. Hehir DA, Dominguez TE, Ballweg JA, Ravishankar C, Marino BS, Bird GL, et al. Risk factors for interstage death after stage 1 reconstruction of hypoplastic left heart syndrome and variants. J Thorac Cardiovasc Surg. 2008;136:94–99
  20. Fraisse A, Colan SD, Jonas RA, Gauvreau K, Geva T. Accuracy of echocardiography for detection of aortic arch obstruction after stage I Norwood procedure. Am Heart J. 1998;135:230–236

 Disclosures: None.

PII: S0022-5223(10)00615-X

doi: 10.1016/j.jtcvs.2010.06.013

The Journal of Thoracic and Cardiovascular Surgery
Volume 140, Issue 3 , Pages 545-549 , September 2010

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