Summary: A set of surgical procedures performed to establish sufficient outflow to the systemic circulation in individuals with univentricular congenital heart malformations, such as HYPOPLASTIC LEFT HEART SYNDROME, and MITRAL VALVE atresia, associated with systemic outflow obstruction. Follow-on surgeries may be performed and consist of a HEMI-FONTAN PROCEDURE as the stage 2 Norwood procedure and a FONTAN PROCEDURE as the stage 3 Norwood procedure.
- Gazit A, Petrucci O, Manning P, Shepard M, Baltagi S, Simpson K, et al. A Novel Surgical Approach to Mechanical Circulatory Support in Univentricular Infants. Ann Thorac Surg. 2017;104:1630-1636 pubmed publisher..This approach overcomes several major challenges encountered in these patients, such as high flow requirement and stability of the cannulae, and allows extubation, rehabilitation, and at times, myocardial recovery. ..
- Texter K, Davis J, Phelps C, Cheatham S, Cheatham J, Galantowicz M, et al. Building a comprehensive team for the longitudinal care of single ventricle heart defects: Building blocks and initial results. Congenit Heart Dis. 2017;12:403-410 pubmed publisher..This article describes the process of building a successful Single Ventricle team, our initial results, and lessons learned. Additional study is ongoing to demonstrate the effects of these interventions on patient outcomes. ..
- Hittinger S, Bandisode V, Chowdhury S, Kavarana M. Aortic Dissection After the Hybrid Stage 1 Procedure: Diagnosis and Management Strategy. Ann Thorac Surg. 2017;104:e275-e277 pubmed publisher..Aortic dissection after hybrid Norwood palliation is a rare but ominous complication that has not been reported. ..
- Shinkawa T, Holloway J, Tang X, Gossett J, Imamura M. Experience Using Kaolin-Impregnated Sponge to Minimize Perioperative Bleeding in Norwood Operation. World J Pediatr Congenit Heart Surg. 2017;8:475-479 pubmed publisher..02 and .005). Use of kaolin-impregnated hemostatic sponge was associated with reduced blood product use and perioperative bleeding complications in Norwood operation at a single institution. ..