Norwood procedure without circulatory arrest

Imoto, Yutaka; Kado, Hideaki; Shiokawa, Yoshiaki; Fukae, Kouji; Yasui, Hirofumi

doi:10.1016/s0003-4975(99)00590-1

Cited by 75 publications

(27 citation statements)

References 4 publications

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“…С внедрением в практику метода СЦП было описано снижение частоты возникновения невро-логических осложнений в сравнении с методом ГЦА как в клинической практике [1][2][3], так и в эксперименте [4,5]. Интерес к методу СЦП возрос с появлением ряда публикаций, посвященных совершенствованию техники СЦП при реконструкции аорты, что позволило снизить длительность ГЦА или же полностью исключить его [6][7][8][9][10][11].…”

Section: Discussionunclassified

“…[11] поддержали концепцию непрерывной перфу-зии верхней части туловища при выполнении модифици-рованной операции Дамуса-Кея-Стенсела, предпочитая канюляцию устья БЦС использованию модифицирован-ного шунта Блэлока-Тауссиг для перфузии. Некоторые авторы вместе с установкой канюли в свободный конец модифицированного шунта Блэлока-Тауссиг канюлиро-вали и нисходящую грудную аорту на уровне диафрагмы с целью непрерывной перфузии верхней и нижней частей туловища на этапе реконструкции аорты [9,13,14]. Pigula и соавт.…”

Section: Discussionunclassified

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Outcomes after One-Stage Repair of Coarctation of the Aorta and Combined Intracardiac Lesions in Infants

Kim

Ким²,

Metlin

et al. 2014

ARAMS

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Section: Discussionunclassified

Outcomes after One-Stage Repair of Coarctation of the Aorta and Combined Intracardiac Lesions in Infants

Kim

Ким²,

Metlin

et al. 2014

ARAMS

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“…In 1999, Imoto et al reported a special technique of descending aorta cannulation combined with RCP for Norwood stage I palliation [13]. They reported that the cannulation of the distal descending thoracic aorta through a median sternotomy seems a safe, easy, and effective technique for perfusion of the lower body in the Norwood procedure.…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of high-flow regional cerebral perfusion in Norwood stage I palliation

Miyaji

Miyamoto

Kohira

et al. 2011

European Journal of Cardio-Thoracic Surgery

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“…The total circulatory arrest with deep hypothermia can also cause changes in coagulation factors, increasing morbidity during the immediate postoperative period. In order to avoid total circulatory arrest and deep hypothermia, Imoto et al [15] performed the Norwood operation with CPB and moderate hypothermia using rACP through the anastomosis of a PTFE graft in the innominate artery and perfusion of the lower body segment by inserting an arterial cannula in the descending aorta (DAC), thus avoiding circulatory arrest and deep hypothermia, but not reducing the time of AC.…”

Section: Discussionmentioning

confidence: 99%

Nova técnica: operação de Norwood com perfusão regional cerebral e coronariana

Furlanetto¹,

Furlanetto²,

Henriques³

et al. 2009

Rev Bras Cir Cardiovasc

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Objective: To assess the immediate result of the modified Norwood procedure with new technique of anterograde regional cerebral perfusion (rACP) and retrograde regional coronary perfusion (rRCorP) in substitution of profound hypothermia and circulatory arrest in children with hypoplastic left heart syndrome (HLHS) with extremely hypoplastic ascending aorta (HA).Methods: In the period of December of 2006 to February 2008 the modified Norwood procedure with tube between the right ventricle and pulmonary arteries or Sano shunt was performed in eight children with HLHS and with ascending aorta diameter less than 3 mm, (four male and four female) with median age of 9.2 days (ranging from 1 to 29 days) and median weigh of 3.3 kg (ranging from 2.7 to 3.8 kg). We used cardiopulmonary bypass and hypothermia at 25°C with two venous cannulas and suture with a polytetrafluoroethylene graft sutured to the innominate artery as an arterial line and used to ARCeP. The RRCoP was performed by a deviation in the arterial line and placement of a catheter in the ascending aorta. The immediate surgical results and the clinical neurological manifestation were assessed. Results: The immediate surgical results revealed mortality of 25% and there were absence of neurological injury at clinical examination. Conclusions:The modified Norwood procedure can be accomplished with ARCeP and RRCoP in children with HLHS with HA with satisfactory immediate surgical result and without neurological complications.Descriptors: Hypoplastic left heart syndrome. Heart defects, congenital/surgery. Cardiac surgical procedures. Extracorporeal circulation/methods.

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Norwood procedure without circulatory arrest

Cited by 75 publications

References 4 publications

Outcomes after One-Stage Repair of Coarctation of the Aorta and Combined Intracardiac Lesions in Infants

Outcomes after One-Stage Repair of Coarctation of the Aorta and Combined Intracardiac Lesions in Infants

The effectiveness of high-flow regional cerebral perfusion in Norwood stage I palliation

Nova técnica: operação de Norwood com perfusão regional cerebral e coronariana

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