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Rudimentary right ventricle to pulmonary artery shunt in the Norwood procedure
Authors:Atsushi Tateishi  Masaaki Kawada  Hideki Morita  Mamoru Takeuchi  Naoyuki Taga  Yoji Otsuka  Osamu Okada  Koichi Kataoka
Affiliation:(1) Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA;(2) Duke Clinical Research Institute, Durham, NC, USA;(3) Division of Pediatric Cardiology and Pediatric Critical Care Medicine, Department of Pediatrics, Children’s Hospital of Wisconsin, Milwaukee, WI, USA;(4) Division of Critical Care Medicine, Departments of Anesthesiology Critical Care Medicine and Pediatrics, Children’s Hospital Los Angeles, Los Angeles, CA, USA;(5) Division of Pediatric Cardiology, Columbia College of Physicians and Surgeons, New York, NY, USA;(6) Division of Pediatric Cardiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
Abstract:
We describe here successful palliative repair of tricuspid atresia, hypoplastic right ventricle, transposition of the great arteries, and hypoplastic aortic arch in a neonate. The repair consisted of the Norwood procedure with a rudimentary right ventricle to pulmonary artery shunt, which was located on the right side of a neo-aorta. This procedure could be a useful adjunct to avoid left ventriculotomy and its subsequent dysfunction.
Keywords:
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