Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Hypoplastic left heart syndrome.

W I Norwood1

  • 1Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia.

The Annals of Thoracic Surgery
|September 11, 1991
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

New developments in the treatment of hypoplastic left heart syndrome.

Minerva pediatrica·2004
Same author

Allopurinol neurocardiac protection trial in infants undergoing heart surgery using deep hypothermic circulatory arrest.

Pediatrics·2001
Same author

Reduction in levels of triiodothyronine following the first stage of the Norwood reconstruction for hypoplastic left heart syndrome.

Cardiology in the young·2001
Same author

Is there a role for extracorporeal life support after stage I Norwood?

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery·2001
Same author

Norwood/Batista operation for a newborn with dilated myopathy of the left ventricle.

The Journal of thoracic and cardiovascular surgery·2000
Same author

Preoperative risk-of-death prediction model in heart surgery with deep hypothermic circulatory arrest in the neonate.

The Journal of thoracic and cardiovascular surgery·2000
Same journal

Late outcomes of postoperative complete heart block after congenital heart surgery: recovery or re-heart block?

The Annals of thoracic surgery·2026
Same journal

Coronary artery bypass grafting based on computed tomography-derived fractional flow reserve versus angiography: Early results.

The Annals of thoracic surgery·2026
Same journal

Beyond R0: Margin Cytology and Local Control After Sublobar Resection.

The Annals of thoracic surgery·2026
Same journal

Deferred AVR During CABG in Moderate Aortic Stenosis: Lower Index Risk or Deferred Cumulative Risk?

The Annals of thoracic surgery·2026
Same journal

The Renaissance of Transapical TAVR: From Competing Access Route to Enabling Platform for Hybrid Heart Therapy.

The Annals of thoracic surgery·2026
Same journal

A Moving Target: Interpreting Post-TAVI Reintervention in a Rapidly Evolving Era.

The Annals of thoracic surgery·2026
See all related articles

This study outlines a three-stage surgical approach for hypoplastic left heart syndrome, achieving 109 early survivors from 151 patients. The hemi-Fontan procedure shows promising results for these complex congenital heart cases.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Surgery
  • Neonatal Critical Care

Background:

  • Hypoplastic left heart syndrome (HLHS) presents complex surgical challenges in newborns.
  • Current management strategies have evolved significantly over time.
  • Maintaining ductal patency and balancing blood flow are critical preoperatively.

Purpose of the Study:

  • To outline the evolution of a three-stage surgical approach for HLHS.
  • To describe the operative details of palliative and definitive procedures.
  • To evaluate the outcomes of the intermediate-stage hemi-Fontan procedure.

Main Methods:

  • Preoperative management including prostaglandin E1 infusion.
  • Description of first-stage palliation and second-stage definitive procedures.

Related Experiment Videos

  • Implementation and assessment of the intermediate hemi-Fontan procedure.

    • Main Results:

    • 151 patients treated with a three-stage approach since January 1989, with 109 early survivors.
    • 78 patients underwent hemi-Fontan operation with 9 deaths; 5 were nonelective.
    • 27 of 78 hemi-Fontan patients proceeded to definitive Fontan with no mortality.

    Conclusions:

    • The three-stage surgical approach, including the hemi-Fontan procedure, offers a viable strategy for HLHS.
    • Early outcomes demonstrate significant survival rates.
    • Further evaluation of the hemi-Fontan stage is warranted for nonelective cases.