Stage I palliation for hypoplastic left heart syndrome: Norwood versus Sano modification

Current Opinion in Cardiology

Volumn 22, Issue 2, 2007, Pages 60-65

  Reemtsen, Brian L ^a,b   Pike, Nancy A ^b   Starnes, Vaughn A ^a,b  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^b CHILDREN S HOSPITAL LOS ANGELES   (United States)

Author keywords

Hypoplastic left heart syndrome; Modified Blalock Taussig shunt; Norwood; Sano

Indexed keywords

ARTERY DIAMETER; ASCENDING AORTA; BLALOCK TAUSSIG ANASTOMOSIS; CARDIOVASCULAR RISK; CLINICAL FEATURE; HEART ATRIUM SEPTUM DEFECT; HEART RIGHT VENTRICLE FUNCTION; HEART SURGERY; HUMAN; HYPOPLASTIC LEFT HEART SYNDROME; INTERMETHOD COMPARISON; LOW BIRTH WEIGHT; LUNG BLOOD FLOW; NORWOOD PROCEDURE; PALLIATIVE THERAPY; PREMATURITY; PRIORITY JOURNAL; PULMONARY ARTERY; REVIEW; SANO PROCEDURE; SHUNTING; SURGICAL TECHNIQUE; TREATMENT OUTCOME; TRICUSPID VALVE REGURGITATION;

ANASTOMOSIS, SURGICAL; BLOOD CIRCULATION; CARDIAC SURGICAL PROCEDURES; HUMANS; HYPOPLASTIC LEFT HEART SYNDROME; INFANT, LOW BIRTH WEIGHT; INFANT, NEWBORN; INFANT, PREMATURE; PALLIATIVE CARE; PULMONARY ARTERY; PULMONARY CIRCULATION; TRICUSPID VALVE INSUFFICIENCY; VENTRICULAR DYSFUNCTION, RIGHT;

EID: 33846891772     PISSN: 02684705     EISSN: None     Source Type: Journal    
DOI: 10.1097/HCO.0b013e328014da09     Document Type: Review

References (53)

1. Malec E, Januszewska K, Kolcz J, Pajak J. Factors influencing early outcome of Norwood procedure for hypoplastic left heart syndrome. Eur J Cardiothorac Surg 2000; 18:202-206.
2. Norwood WI, Kirklin JK, Sanders SP. Hypoplastic left heart syndrome: experience with palliative surgery. Am J Cardiol 1980; 45:78-91.
3. Tweddell JS, Hoffman GM, Mussatto KA, et al. Improved survival of patients undergoing palliation of hypoplastic left heart syndrome: lessons learned from 115 consecutive patients. Circulation 2002; 106:82-89.
4. Checchia PA, Larsen R, Sehra R, et al. Effect of a selection and postoperative care protocol on survival of infants with hypoplastic left heart syndrome. Ann Thorac Surg 2004; 77:477-483.
5. Azakie T, Merklinger SL, McCrindle BW, et al. Evolving strategies and improving outcomes of the modified Norwood procedure: a 10-year single-institution experience. Ann Thorac Surg 2001; 72:1349-1353.
6. Bove EL, Lloyd TR. Staged reconstruction for hypoplastic left heart syndrome: contemporary results. Ann Surg 1996; 224:387-395.
7. Gaynor JW, Mahle WT, Cohen MI, et al. Risk factors for mortality after the Norwood procedure. Eur J Cardiothorac Surg 2002; 22:82-89.
8. Kern JH, Hayes CJ, Michler RE, et al. Survival and risk factor analysis for the Norwood procedure for hypoplastic left heart syndrome. Am J Cardiol 1997; 80:170-174.
9. Weinstein S, Gaynor JW, Bridges ND, et al. Early survival of infants weighing 2.5 kilograms or less undergoing first-stage reconstruction for hypoplastic left heart syndrome. Circulation 1999; 100 (Suppl II):II-167-II-170.
10. Pizarro C, Malec E, Maher KO, et al. Right ventricle to pulmonary artery conduit improves outcome after stage I Norwood for hypoplastic left heart syndrome. Circulation 2003; 108 (Suppl II):II-155-II-160.
11. Sano S, Ishino K, Kawada M, Honjo O. Right ventricle-pulmonary artery shunt in first-stage palliation for hypoplastic left heart syndrome. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2004; 7:22-31.
12. Nigro JJ, Bart RD, Derby CD, et al. Proximal conduit obstruction after Sano modified Norwood procedure. Ann Thorac Surg 2005; 80:1924-1928. This paper is a case study of proximal intimal hyperplasia obstruction of the Sano conduit causing sudden death.
13. Pizarro C, Norwood WI. Right ventricle to pulmonary artery conduit has a favorable impact on postoperative physiology after stage I Norwood: preliminary results. Eur J Cardiothorac Surg 2003; 23:991-995.
14. Bartram U, Grunenfelder J, Van Praagh R. Causes of death after the modified Norwood procedure: a study of 122 postmortem cases. Ann Thorac Surg 1997; 64:1795-1802.
15. Poirier NC, Drummond-Webb JJ, Hisamochi K, et al. Modified Norwood procedure with a high-flow cardiopulmonary bypass strategy results in low mortality without late arch obstruction. J Thorac Cardiovasc Surg 2000; 120:875-884.
16. Ashburn DA, McCrindle BW, Tchervenkov CI, et al. Outcomes after the Norwood operation in neonates with critical aortic stenosis or aortic valve atresia. J Thorac Cardiovasc Surg 2003; 125:1070-1082.
17. Mahle WT, Spray TL, Wernovsky G, et al. Survival after reconstruction surgery for hypoplastic left heart syndrome: a 15-year experience from a single institution. Circulation 2000; 102:136-141.
18. Ischino K, Stumper O, De Giovanni JJV, et al. The modified Norwood procedure for hypoplastic left heart syndrome: early to intermediate results of 120 patients with particular reference to aortic arch repair. J Thorac Cardiovasc Surg 1999; 117:920-930.
19. Mahle WT, Spray TL, Gaynor JW, Clark BJ. Unexpected death after reconstructive surgery for hypoplastic left heart syndrome. Ann Thorac Surg 2001; 71:61-65.
20. Sano S, Ishino K, Kawada M, et al. Right ventricle-pulmonary artery shunt in first-stage palliation of hypoplastic left heart syndrome. J Thorac Cardiovasc Surg 2003; 126:504-510.
21. Tabbutt S, Dominguez TE, Ravishankar C, et al. Outcomes after the stage I reconstruction comparing the right ventricular to pulmonary artery conduit with the modified Blalock-Taussig shunt. Ann Thorac Surg 2005; 80:1582-1591. This paper documented a center's experience in comparing the MBTS and Sano modification which showed no difference in outcomes.
22. Sano S, Ishino K, Kado H, et al. Outcome of right ventricle-to-pulmonary artery shunt in first-stage palliation for hypoplastic left heart syndrome: a multi-institutional study. Ann Thorac Surg 2004; 78:1951-1958.
23. Mair R, Tulzer G, Sames E, et al. Right ventricular to pulmonary artery conduit instead of modified Blalock-Taussig shunt improves postoperative hemodynamic in newborns after the Norwood operation. J Thorac Cardiovasc Surg 2003; 126:1378-1384.
24. Cua CL, Thiagarajan RR, Gauvreau K, et al. Early postoperative outcomes in a series of infants with hypoplastic left heart syndrome undergoing stage I palliation operation with either modified Blalock-Taussig shunt or right ventricle to pulmonary artery conduit. Pediatr Crit Care Med 2006; 7:238-244. This paper examined a concurrent series comparing the MBTS and Sano modification which demonstrated no difference in mortality and morbidity.
25. Mahler WT, Charade AR, Tam VKH. Early experience with a modified Norwood procedure using right ventricle to pulmonary artery conduit. Ann Thorac Surg 2003; 76:1084-1089.
26. Azakie A, Martinez D, Sapru A, et al. Impact of right ventricle to pulmonary artery conduit on outcomes of the modified Norwood procedure. Ann Thorac Surg 2004; 77:1727-1733.
27. Drinkwater DC Jr, Aharon AS, Quisling SV, et al. Modified Norwood operation for hypoplastic left hearts. Ann Thorac Surg 2001; 72:2081-2086.
28. Pearl JM, Nelson DP, Schwartz SM, Manning PB. First-staged palliation for hypoplastic left heart syndrome in the twenty-first century. Ann Thorac Surg 2002; 73:331-340.
29. Norwood WI, Lang P, Castaneda AR, et al. Experience with operations for hypoplastic left heart syndrome. J Thorac Cardiovasc Surg 2001; 122:879-882.
30. Imoto Y, Kado H, Shiokawa Y, et al. Norwood procedure without circulatory arrest. Ann Thorac Surg 1999; 68:559-561.
31. Imoto Y, Kado H, Shiokawa Y, et al. Experience with the Norwood procedure without circulatory arrest. J Thorac Cardiovasc Surg 2001; 122:879-882.
32. Kishimoto H, Kawahira Y, Kawata H, et al. The modified Norwood palliation on a beating heart. J Thorac Cardiovasc Surg 1999; 118:1130-1132.
33. Sano S, Ishino K, Kawada M, et al. The modified Norwood operation for hypoplastic left heart syndrome: using right ventricle-to-pulmonary artery shunt [abstract]. Cardio Young 2001; 11 (Suppl 1):21.
34. Tam VKH, Murphy K, Parks J, Raviele AA, et al. Saphenous vein homograft: a superior conduit for the systemic arterial shunt in the Norwood operation. Ann Thorac Surg 2001; 71:1537-1540.
35. Murakami A, Takamoto S, Takaoka T, et al. Saphenous vein homograft containing a valve as a right ventricle-pulmonary artery conduit in the modified Norwood operation. J Thorac Cardiovasc Surg 2002; 124:1041-1042.
36. Reinhartz O, Reddy VM, Petrossian E, et al. Homograft valved right ventricle to pulmonary artery conduit as a modification of the Norwood procedure. Circulation 2006; 114:594-599. This paper shows a center's results on using an alternative right ventricle to pulmonary artery conduit with a valved homograft as a modification of the Norwood procedure.
37. Bradley SM, Simsic JM, McQuinn TC, et al. Hemodynamic status after the Norwood procedure: a comparison of right ventricle-to-pulmonary artery connection versus modified Blalock-Taussig shunt. Ann Thorac Surg 2004; 78:933-941.
38. Rumball EM, McGuirk SP, Stumper O, et al. The RV-PA conduit stimutates better growth of the pulmonary arteries in hypoplastic left heart syndrome. Eur J Cardiothorac Surg 2005; 27:801-806. This paper shows more evenly distributed pulmonary artery growth with the Sano modification but central pulmonary artery stenosis was identified that may require future reconstruction.
39. Soetenga D, Mussatto KA. Management of infants with hypoplastic left heart syndrome: integrating research into nursing practice. Crit Care Nurs 2004; 24:46-65.
40. Tanoue Y, Kado H, Shiokawa Y, et al. Midterm ventricular performance after Norwood procedure with right ventricular-pulmonary artery conduit. Ann Thorac Surg 2004; 78:1965-1971.
41. Cua CL, Sanghavi D, Voss S, et al. Right ventricular pseudoaneurysm after modified Norwood procedure. Ann Thorac Surg 2004; 78:e72-e73.
42. Malec E, Januszewska K, Kolcz J, et al. Right ventricle-to- pulmonary artery shunt versus modified Blalock-Taussig shunt in the Norwood procedure for hypoplastic left heart syndrome: influence on early and late haemodynamic status. Eur J Cardiothorac Surg 2003; 23:728-733; discussion 733-734.
43. Eicken A, Sebening W, Genz TH, et al. Stenting of a stenosed Sano shunt in neonate with hypoplastic left heart syndrome. Pediatr Cardiol 2005; 26:877-878.
44. Griselli M, McGuirk SP, Stumper O, et al. Influence of surgical strategies on outcomes after the Norwood procedure. J Thorac Cardiovasc Surg 2006; 131:418-426. This paper demonstrates one center's improved survival with the use of the Sano modification but also shows the need for subsequent pulmonary artery patch augmentation.
45. Checchia PA, McCollegan J, Daher N, et al. The effects of surgical case volume on outcomes after Norwood procedure. J Thorac Cardiovasc Surg 2005; 129:754-759. This paper identifies survival after the Norwood procedure associated with the institution's Norwood procedure volume and not the individual surgeon's volume.
46. Berry JG, Cowley CG, Hoff CJ, Srivastava R. In-hospital mortality for children with hypoplastic left heart syndrome after stage I surgical palliation: teaching versus nonteaching hospitals. Pediatrics 2006; 117:1307-1313. This paper identifies increased mortality in a nonteaching or low-volume center after stage I palliation between 1997 and 2000.
47. Daebritz SH, Nollert GD, Zurakowski D, et al. Results of stage I operation: comparison of hypoplastic left heart syndrome and other malformations. J Thorac Cardiovasc Surg 2000; 119:358-367.
48. McGuirk SP, Griselli M, Stumper OF, et al. Staged surgical management of hypoplastic left heart syndrome: a single institution 12-year experience. Heart 2006; 92:364-370. This paper demonstrates a single institution's improvement in outcomes attributed to use of the Sano modification.
49. Ghanayem NS, Hoffman GM, Mussatto KA, et al. Home surveillance program prevents interstage mortality after the Norwood procedure. J Thorac Cardiovasc Surg 2003; 126:1367-1377.
50. Pizarro C, Davis DA, Galantowicz ME, et al. Stage I palliation for hypoplastic left heart syndrome in low birth weight neonates: can we justify it? Eur J Cardiothorac Surg 2002; 21:716-720.
51. Vlahos AP, Lock JE, McElhinney DB, van der Velde ME. Hypoplastic left heart syndrome with intact or highly restrictive atrial septum: outcomes after neonatal transcatheter atrial septostomy. Circulation 2004; 109:2326-2330.
52. Ohye RG, Gomez CA, Goldberg CS, et al. Tricuspid valve repair in hypoplastic left heart syndrome. J Thorac Cardiovasc Surg 2004; 127:465-472.
53. Hughes ML, Shekerdemian LS, Brizard CP, et al. Improved early ventricular function with a right ventricle to pulmonary artery conduit in stage I palliation for hypoplastic left heart syndrome: evidence from strain Doppler echocardiography. Heart 2004; 90:191-194.