Proximal conduit obstruction after Sano modified Norwood procedure

被引:28
作者
Nigro, JJ
Bart, RD
Derby, CD
Sklansky, MS
Starnes, VA
机构
[1] Univ So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Dept Cardiothorac Surg, Los Angeles, CA 90027 USA
[2] Univ So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Dept Anesthesiol, Los Angeles, CA 90027 USA
[3] Univ So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Dept Crit Care Med, Los Angeles, CA 90027 USA
[4] Univ So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Dept Pediat, Los Angeles, CA 90027 USA
[5] Univ So Calif, Childrens Hosp Los Angeles, Keck Sch Med, Div Cardiol, Los Angeles, CA 90027 USA
关键词
D O I
10.1016/j.athoracsur.2004.06.054
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Sano and colleagues [1] recently described a modification of first stage palliation for hypoplastic left heart syndrome utilizing a right ventricle to pulmonary artery conduit. Preliminary results are favorable, but experience with this technique is limited. We report a case of sudden death due to obstruction of the proximal conduit by fibrointimal hyperplasia. This case of lethal conduit obstruction presented 3 months after initial palliation. Early cardiac catheterization and second stage palliation may be necessary to minimize the risk of such adverse events after the Sano modification.
引用
收藏
页码:1924 / 1928
页数:5
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