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Updated: Apr 20, 2026

Implantation of the Syncardia Total Artificial Heart
Published on: July 18, 2014
Beating-heart surgery for hypoplastic left heart syndrome with coronary artery fistulas
Shunsuke Matsushima1, Yoshihiro Oshima1, Ayako Maruo1
1Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan.
Abstract:
The presence of ventriculocoronary connections in patients with hypoplastic left heart syndrome and mitral stenosis-aortic atresia is a suggested risk factor for myocardial ischemia after surgical palliation. We describe a neonate with this anatomic variant of hypoplastic left heart syndrome who underwent a successful beating-heart Norwood operation, with continuous coronary perfusion. The ventricular condition could be visually confirmed during the procedure, and a postoperative echocardiogram showed preserved ventricular function. This technique is considered an effective option for minimizing myocardial damage in this patient subtype.
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