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Effectiveness of Bilateral Pulmonary Artery Banding in Patients with Hypoplastic Left Heart Syndrome and Congenital Heart Defects with a Functional Single Ventricle: A Single-Center Retrospective Study

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Congenital Heart Disease 2022年第3期17卷 365-374页

作者： Vitaliy Suvorov Vladimir Zaitcev Karolina Andrzejczyk Saint Petersburg State Pediatric Medical University Saint-PetersburgRussia Academisch Medisch Centrum Universiteit van Amsterdam AmsterdamNetherlands

Background:Bilateral banding of the branches of the pulmonary artery in patients with hypoplastic left heart syndrome(HLHS)and other duct dependent critical neonatal heart malformations can significantly reduce the incidence of severe complications in the postoperative period,especially in severely unstable *** our study we compared different surgical techniques of bilateral pulmonary artery banding(PAB)in respect to their success in balancing systemic and pulmonary blood ***:We included 44 neonates with a HLHS and congenital heart diseases(CHD)with a functional single ventricle underwent a hybrid operation:bilateral PAB and patent ductus arteriosus *** hybrid surgery for method No.1 is performed as a one-stage procedure,together with patent ductus arteriosus(PDA)*** median sternotomy,two Gore-Tex 1–2 mm wide bands with a diameter of 3–3.5 mm are *** we apply method No.2 then the thread is used to create *** No.3 is distinguished by intraoperative assessment of blood flow at the site of narrowing of the branches of the pulmonary artery and optional stenting of the *** cuff for banding is made of Gore-Tex *** when applying method Nos.1 and 2 is assessed by the change in invasive blood pressure and oxygen saturation after narrowing of the branches of the pulmonary ***,with these techniques PDA stenting by inserting the introducer via pulmonary artery trunk is ***:HLHS with mitral or aortic valve atresia or both was present in 19 patients(43.1%),with severe left heart obstruction resulting in PDA dependent systemic circulation in 16 babies(36.4%).CHD with single ventricle physiology occurred in 9 patients(20.5%).14 babies(31.8%)undergo the procedure following the method No.1,8 patients(18.2%)method No.2 and 22 patients(50%)method ***/Qs=1/1 was achieved in 30 patients(30/44,68.1%):as a result of the method No.1 was achieved in 5 patients(5/14,35.7%),method No.2 in 4 patien

关键词： Bilateral banding hybrid norwood procedure pulmonary banding hybrid approach HLHS surgery single ventricle

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Emergency hybrid Correction in a Newborn with Critical Aortic Valve Stenosis with Acute Pulmonary Edema in the First Hour after Birth

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Congenital Heart Disease 2023年第1期18卷 57-65页

作者： Vitaliy Suvorov Vladimir Zaitsev Nikolay Pilyugov Olga Tereshenko Michail Komissarov Saint Petersburg State Pediatric Medical University Saint-PetersburgRussia

Critical aortic valve stenosis in newborns is the cause of a severe clinical condition with the onset of symptoms during first hours after *** present a clinical case of a successful surgical correction of a critical aortic stenosis using a hybrid method applied in a newborn during the first day of *** infant was diagnosed with a hypoplastic left heart complex with an intact atrial septum(aortic and mitral valves stenosis variant),that led to the cardiogenic shock and acute pulmonary *** procedure included bilateral banding of the pulmonary artery branches and atrioseptostomy with stenting of the interatrial *** surgery was performed through a median sternotomy.

关键词： Critical aortic valve stenosis hybrid correction hybrid norwood bilateral banding hybrid norwood procedure acute pulmonary edema intact atrial septum hypoplastic left heart complex

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