Outcomes after the Norwood operation in neonates with critical aortic stenosis or aortic valve atresia

Ashburn, David A.; McCrindle, Brian W.; Tchervenkov, Christo I.; Jacobs, Marshall L.; Lofland, Gary K.; Bove, Edward L.; Spray, Thomas L.; Williams, William G.; Blackstone, Eugene H.

doi:10.1067/mtc.2003.183

Cited by 226 publications

(211 citation statements)

References 32 publications

(51 reference statements)

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“…The risk factors for death after the first stage included individual (low birth weight, small ascending aorta and older age in the Norwood operation), institutional and surgical aspects (shunt originating from the aorta, long circulatory arrest and involvement of the ascending aorta). Risk factors for death after the second stage included younger age at cavo-pulmonary shunt and the necessity of atrioventricular valvuloplasty [15].…”

Section: Discussionmentioning

confidence: 99%

“…Publications demonstrated in-hospital survival varying between 42% and 66%, with the majority of deaths occurring within the first 24 hours after surgery as a result of low cardiac outflow. The long-term survival varied between 21% and 44% [13][14][15].…”

Section: Discussionmentioning

confidence: 99%

“…In spite of the good current results using the mBT technique in the first stage, there is still a risk of from 4% to 15% of deaths before the second stage [15,28,29], although the utilization of a home monitoring program may reduce this risk [30]. The use of a RV-PA tube decreases the interstage mortality among survivors of the Norwood operation, according to the study by Pizarro et al [31], in which 40 of 46 patients in the mBT Group and 49 of 50 patients in the RV-PA Group tube completed the HemiFontan stage with interim mortality rates of 13% and 2%, respectively.…”

Section: Braz J Cardiovasc Surg 2007; 22(2): 160-168mentioning

confidence: 99%

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Síndrome do coração esquerdo hipoplásico: estratégia cirúrgica e comparação de resultados com técnicas de Norwood x Sano

Silva¹,

Fonseca²,

Baumgratz³

et al. 2007

Rev Bras Cir Cardiovasc

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Braz J Cardiovasc Surg 2007; 22(2): 160-168mentioning

confidence: 99%

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Síndrome do coração esquerdo hipoplásico: estratégia cirúrgica e comparação de resultados com técnicas de Norwood x Sano

Silva¹,

Fonseca²,

Baumgratz³

et al. 2007

Rev Bras Cir Cardiovasc

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“…The review included eight retrospective reviews of surgical cases, [23][24][25][26][27][28][29][30] four retrospective cohort studies, [31][32][33][34] two case-control studies 35,36 and one randomised controlled trial that was reported in two papers. 26,37 Only three studies 29,36,37 included a prospective element.…”

Section: Study Selectionmentioning

confidence: 99%

Infant deaths in the UK community following successful cardiac surgery: building the evidence base for optimal surveillance, a mixed-methods study

Brown

Wray

Knowles

et al. 2016

Health Serv Deliv Res

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This report should be referenced as follows:Brown KL, Wray J, Knowles RL, Crowe S, Tregay J, Ridout D, et al. Infant deaths in the UK community following successful cardiac surgery: building the evidence base for optimal surveillance, a mixed-methods study . Health Serv Deliv Res 2016;4(19). Health Services and Delivery ResearchISSN 2050-4349 (Print) ISSN 2050-4357 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full HS&DR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hsdr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Services and Delivery Research journalReports are published in Health Services and Delivery Research (HS&DR) if (1) they have resulted from work for the HS&DR programme or programmes which preceded the HS&DR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. HS&DR programmeThe Health Services and Delivery Research (HS&DR) programme, part of the National Institute for Health Research (NIHR), was established to fund a broad range of research. It combines the strengths and contributions of two previous NIHR research programmes: the Health Services Research (HSR) programme and the Service Delivery and Organisation (SDO) programme, which were merged in January 2012.The HS&DR programme aims to produce rigorous and relevant evidence on the quality, access and organisation of health services including costs and outcomes, as well as research on implementation. The programme will enhance the strategic focus on research that matters to the NHS and is keen to support ambitious evaluative research to improve health services.For more information about the HS&DR programme please visit the website: http://www.nets.nihr.ac.uk/programmes/hsdr This reportThe research reported in this issue of the journal was funded by the HS&DR programme or one of its preceding programmes as project number 10/2002/29. The contractual start date was in October 2012. The final report began editorial review in April 2015 and was accepted for publication in September 2015. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HS&DR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Depart...

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“…The traditional surgical approach of newborns with hypoplastic left heart syndrome is complex and continues to have significant mortality compared with other neonatal cardiac operations [ 1 ]. Single ventricle palliation with the Norwood operation and a systemic-to-pulmonary shunt aims at redirecting circulatory pathways to protect the pulmonary vasculature from excessive blood flow and optimize systemic organ flows.…”

mentioning

confidence: 99%

Nova bandagem ajustável das artérias pulmonares na Síndrome de Hipoplasia de Câmaras Esquerdas

Assadi¹,

Zamith²,

Silva

et al. 2007

Rev Bras Cir Cardiovasc

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Objective: Hypoplastic left heart syndrome remains a challenge for worldwide surgeons. Initial palliation employing bilateral pulmonary artery banding along with ductal stent implantation and atrial septostomy has been proposed as an alternative approach. However, the surgically placed bands are fixed and may become inadequate after sternum closure or with somatic growth of the patient. We describe the first case in which a neonate with hypoplastic left heart syndrome was initially managed using a mini banding system that allows for fine percutaneous adjustments of pulmonary blood flow.Method: Through a mid sternotomy, a 5 day-old neonate underwent bilateral pulmonary artery banding using this new system combined with placement of a main pulmonary artery to innominate artery shunt.Results: The patient had an uneventful postoperative course. Three percutaneous adjustments of the banding system were necessary to keep the arterial oxygen saturation in the 75%-85% range. On the 48 th day of life, she was 42ASSAD, RS ET AL -A novel adjustable pulmonary artery banding system for hypoplastic left heart syndrome Braz J Cardiovasc Surg 2007; 22(1): 41-48

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Outcomes after the Norwood operation in neonates with critical aortic stenosis or aortic valve atresia

Abstract: Competing risks analysis defines the prevalence of the various outcomes after Norwood operation and predicts improved outcomes with successful modification of controllable risk factors.

Cited by 226 publications

References 32 publications

Síndrome do coração esquerdo hipoplásico: estratégia cirúrgica e comparação de resultados com técnicas de Norwood x Sano

Síndrome do coração esquerdo hipoplásico: estratégia cirúrgica e comparação de resultados com técnicas de Norwood x Sano

Infant deaths in the UK community following successful cardiac surgery: building the evidence base for optimal surveillance, a mixed-methods study

Nova bandagem ajustável das artérias pulmonares na Síndrome de Hipoplasia de Câmaras Esquerdas

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