Open Access Case report

Double shunt technique for hybrid palliation of hypoplastic left heart syndrome: a case report

Marcelo B Jatene*, Patrícia M Oliveira, Rafael A Moysés, Ieda B Jatene, Carlos A Pedra, Simone F Pedra, Fabiana Succi, Vitor O Carvalho and Carlos R Ferreiro

Author Affiliations

Serviço de cirurgia Cardíaca Pediátrica do Hospital do Coração (HCor), São Paulo - SP - Brazil

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Journal of Cardiothoracic Surgery 2011, 6:146 doi:10.1186/1749-8090-6-146

Published: 26 October 2011

Abstract

We report a technique to palliate hypoplastic left heart syndrome, with no PDA stenting, but with double polytetrafluoroethylene shunt from pulmonary artery to ascending and descending aorta by combined thoracotomies. A 30-day-old female was operated with this technique. Five months after first operation, the child was submitted to Norwood/Glenn operation. Good hemodinamic recovery and initial clinical evolution was observed. The child was extubated in 8th post operatory day and reentubated in the next day due to pulmonary infection. Despite antibiotic treatment, the child died after systemic infectious complications.

Keywords:
Congenital heart disease; hypoplastic left heart syndrome; Norwood; Infant; Shunts