Surgical correction of hypoplastic left heart syndrome: a new approach

Rocha-e-Silva, Roberto; Mola, Ricardo De; Santos, Elizeu de Souza; Martins, Dennys Marcel Sanches; Pesciotto, Vanessa Rejane; Hatori, Dalton Marcelo; Greco, João Paulo Martins

doi:10.6061/clinics/2012(05)24

Cited by 6 publications

(6 citation statements)

References 15 publications

(13 reference statements)

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“…One patient who met the relevant criteria and required surgical correction was submitted to the procedure (15) and demonstrated that it could potentially reduce the perioperative complications.…”

Section: Expected Resultsmentioning

confidence: 99%

“…The proposed procedure requires fewer sutures, which excludes the need to implant a heterologous systemic pulmonary shunt and decreases the surgical time. One patient who met the relevant criteria and required surgical correction was submitted to the procedure ( 15 ) and demonstrated that it could potentially reduce the perioperative complications.…”

Section: Expected Resultsmentioning

confidence: 99%

“…The technique described does not require any period of coronary ischemia or surgical manipulation of the ventricle, as described previously ( 15 ). The combined effect of these improvements should promote a higher quality of postoperative ventricular function.…”

Section: Expected Resultsmentioning

confidence: 99%

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A new technique for the correction of hypoplastic left heart syndrome

Rocha-e-Silva

2012

Clinics

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Section: Expected Resultsmentioning

confidence: 99%

Section: Expected Resultsmentioning

confidence: 99%

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A new technique for the correction of hypoplastic left heart syndrome

Rocha-e-Silva

2012

Clinics

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“…Hypoplastic left heart syndrome (HLHS) is a complex congenital heart condition which includes abnormal development of the left-sided cardiac structures leading to inadequate systemic perfusion following postnatal closure of the patent ductus arteriosus (PDA) [1], [2].…”

Section: Introductionmentioning

confidence: 99%

Perioperative Management of a Child with Hypoplastic Left Heart Syndrome Undergoing Cryptorchidism Surgery

Memeti

Kuçi²,

Ibrahimi³

et al. 2022

Open Access Maced J Med Sci

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Hypoplastic left heart syndrome (HLHS) is a complex congenital heart condition which includes abnormal development of left sided cardiac structures leading to inadequate systemic perfusion following postnatal closure of the patent ductus arteriosus (PDA). Surgical palliation may be accomplished through a 3 staged process -Norwood procedure. This surgery is usually done within the first two weeks of your child's life -Bidirectional Glenn procedure. This procedure is generally the second surgery. It's done when your child is between 3 and 6 months of age. -Fontan procedure. This surgery is usually done when your child is between 18 months and 4 years of age. Patients with HLHS may need to undergo other non-cardiac surgical procedures during the first years of life posing a real challenge to the anesthesiologist, surgeon and the entire medical team. We present the case of a 18-months old, 9 kg infant who presented for cryptorchidism surgery. Cryptorchidism or undescended testis (UDT) is one of the most common pediatric disorders of the male endocrine glands and the most common genital disorder identified at birth. The main reasons for treatment of cryptorchidism include increased risks of impairment of fertility potential, testicular malignancy, torsion and/or associated inguinal hernia. The intraoperative implications of the hybrid anatomy are discussed, options for anesthetic care presented, and previous reports of anesthetic care for such patients reviewed. Conclusion: LMA combined with local anesthesia was effective to maintaining optimal cardiac function of this child patient with HLHS In summary, children with palliated HLHS have anesthetic considerations that must be followed in order to reduce perioperative morbidity and mortality in this high-risk pathology.

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“…Rocha-e-Silva et al (26),(27) described a novel approach for the correction of hypoplastic left heart syndrome, which simplifies the surgery by forming the autologous pulmonary trunk and ascending aorta tissue into flaps to create a posterior wall for a neo-aorta. Moreover, a reconstructive procedure constructs a valved pulmonary outlet.…”

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confidence: 99%

Cardiovascular research in CLINICS

Rocha-e-Silva¹

2013

Clinics

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Surgical correction of hypoplastic left heart syndrome: a new approach

Cited by 6 publications

References 15 publications

A new technique for the correction of hypoplastic left heart syndrome

A new technique for the correction of hypoplastic left heart syndrome

Perioperative Management of a Child with Hypoplastic Left Heart Syndrome Undergoing Cryptorchidism Surgery

Cardiovascular research in CLINICS

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