The Journal of Thoracic and Cardiovascular Surgery
Volume 141, Issue 3 , Pages 837-839 , March 2011

Norwood procedure using modified Blalock–Taussig shunt: Beware of the circle of Willis

  • Selma O. Algra, MD

      Affiliations

    • Department of Pediatric Cardiothoracic Surgery and Intensive Care, University Medical Center Utrecht, Utrecht, The Netherlands
    • Corresponding Author InformationAddress for reprints: Selma O. Algra, MD, Department of Pediatric Cardiothoracic Surgery and Intensive Care, University Medical Center Utrecht, In-house post KG.01.3190, Lundlaan 6, 3584 EA Utrecht, The Netherlands.
    • ,
  • Floris Groenendaal, MD

      Affiliations

    • Department of Neonatology, University Medical Center Utrecht, Utrecht, The Netherlands
    • ,
  • Ton Schouten, MD

      Affiliations

    • Department of Pediatric Intensive Care, University Medical Center Utrecht, Utrecht, The Netherlands
    • ,
  • Felix Haas, MD

      Affiliations

    • Department of Pediatric Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands

Received 25 May 2010 ,Accepted 28 June 2010.

References 

  1. McQuillen PS, Barkovich AJ, Hamrick SE, Perez M, Ward P, Glidden DV, et al. Temporal and anatomic risk profile of brain injury with neonatal repair of congenital heart defects. Stroke. 2007;38:736–741
  2. Ohye RG, Goldberg CS, Donohue J, Hirsch JC, Gaies M, Jacobs ML, et al. The quest to optimize neurodevelopmental outcomes in neonatal arch reconstruction: the perfusion techniques we use and why we believe in them. J Thorac Cardiovasc Surg. 2009;137:803–806
  3. Kimatian SJ, Myers JL, Johnson SK, Suominen PK. Transcranial Doppler-revealed retrograde cerebral artery flow during Norwood 1 operation. ASAIO J. 2006;52:608–610
  4. van Kooij BJ, Hendrikse J, Benders MJ, de Vries LS, Groenendaal F. Anatomy of the circle of Willis and blood flow in the brain-feeding vasculature in prematurely born infants. Neonatology. 2010;97:235–241
  5. Andropoulos DB, Diaz LK, Fraser CD, McKenzie ED, Stayer SA. Is bilateral monitoring of cerebral oxygen saturation necessary during neonatal aortic arch reconstruction?. Anesth Analg. 2004;98:1267–1272

 Disclosures: Authors have nothing to disclose with regard to commercial support.

PII: S0022-5223(10)00698-7

doi: 10.1016/j.jtcvs.2010.06.049

The Journal of Thoracic and Cardiovascular Surgery
Volume 141, Issue 3 , Pages 837-839 , March 2011

Article Tools

* Image Usage & Resolution