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Postoperative Management After the Norwood Procedure
Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual, 1998Staged reconstruction has become the preferred approach to hypoplastic left heart syndrome at many centers in the United States. The overall results of this strategy are most adversely affected by a high mortality at the initial stage, the Norwood procedure.
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Surgical Management of Norwood Procedure for Atypical Aortic Arch
World journal for pediatric & congenital heart surgeryBackground: Postoperative restenosis of the aortic arch after the Norwood procedure is still an important complication that significantly affects surgical outcomes. The rarity of the Norwood procedure for atypical aortic morphology means appropriate arch
Shota Masaki, Yusuke Ando, T. Nakano
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Life after the Norwood procedure
Heart, 2009Life after the Norwood procedure (fig 1) starts when the baby is successfully weaned from cardiopulmonary bypass and, after a well-orchestrated transfer, arrives safely in the cardiac intensive care unit.1 At this time, the surgeon will usually inform the parents of the successful outcome of the operation.
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Norwood procedure to hypoplastic left heart syndrome
The Japanese Journal of Thoracic and Cardiovascular Surgery, 1998Since March 1992, 25 neonates and small infants with HLHS have undergone a modified Norwood procedure. The mean age and weight at operation were 17 days (2 days-2 months) and 2.7 kg (1.6-3.3 kg). Isolated cerebral and/or myocardial perfusion (ICMP) with direct anastomosis of aorta and pulmonary artery was utilized since January 1995 to 16 patients ...
Hiroyuki Irie +8 more
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Comprehensive Aristotle Score: Implications for the Norwood Procedure
The Annals of Thoracic Surgery, 2006Aristotle score is emerging as a reliable tool to measure surgical performance. We estimated the comprehensive Aristotle score for the Norwood procedure, correlated it with survival, and considered its impact on surgical management of hypoplastic left heart syndrome.Comprehensive Aristotle score was retrospectively calculated for 39 consecutive Norwood
Christoph Fink +6 more
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2018
For infants with HLHS, pulmonary vascular resistance is high, often due to the presence of severe pulmonary hypertension; therefore, Fontan surgery should not be performed immediately, but in stages. At present, three stages of the staged surgery are advisable: Stage I Norwood surgery (neonatal), Stage II Norwood surgery (6 months after Stage I surgery)
Yu Guo Weng, Bin Qiao
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For infants with HLHS, pulmonary vascular resistance is high, often due to the presence of severe pulmonary hypertension; therefore, Fontan surgery should not be performed immediately, but in stages. At present, three stages of the staged surgery are advisable: Stage I Norwood surgery (neonatal), Stage II Norwood surgery (6 months after Stage I surgery)
Yu Guo Weng, Bin Qiao
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International Journal of Artificial Organs, 2020
Background: Extracorporeal membrane oxygenation after the Norwood procedure has historically been associated with poor outcomes, with reported hospital survival rates of 13%–48%. We hypothesized that contemporary outcomes in this population have improved.
Nicole De Jesus-Brugman +5 more
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Background: Extracorporeal membrane oxygenation after the Norwood procedure has historically been associated with poor outcomes, with reported hospital survival rates of 13%–48%. We hypothesized that contemporary outcomes in this population have improved.
Nicole De Jesus-Brugman +5 more
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Seminars in Thoracic and Cardiovascular Surgery, 2020
INTRODUCTION Given pulmonary artery interventions following the Norwood procedure can recur, the average number of occurrences per patient over time is likely more informative than the crude percentage of patients who required an intervention.
Z. Spigel +7 more
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INTRODUCTION Given pulmonary artery interventions following the Norwood procedure can recur, the average number of occurrences per patient over time is likely more informative than the crude percentage of patients who required an intervention.
Z. Spigel +7 more
semanticscholar +1 more source
The norwood procedure – does the type of shunt determine outcome?
The Thoracic and Cardiovascular Surgeon, 2007Stage I palliation of hypoplastic left heart syndrome (HLHS) and its variants is usually performed by a Norwood operation. The management of pulmonary blood flow during this procedure remains controversial. The RV-to-PA conduit (RVPAC) has been proposed as the better alternative compared to a systemic-to-pulmonary shunt (SPS).A retrospective single ...
André Rüffer +8 more
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The Norwood Procedure: In favor of the RV-PA Conduit
Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual, 2013Evolution of the Norwood procedure has culminated in there currently being three treatment strategies available for initial management: the 'classical' Norwood (utilizing a Blalock-Taussig shunt), the Norwood with right-ventricle to pulmonary artery (RV-PA) conduit, and the 'hybrid' Norwood procedure utilizing bilateral pulmonary artery banding and ...
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