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Hybrid Approach: The Columbus Way

  • John P. CheathamEmail author
Chapter

Abstract

The neurodevelopmental outcomes after surgical repair of hypoplastic left heart syndrome (HLHS) are the worst of any congenital heart disease (CHD). In addition, the mortality for the conventional stage I surgical approach, the Norwood/Sano procedure, remains high in many institutions across the globe. Although our institution mortality was acceptably low, we wondered whether there could be a more “gentle” approach to stage I palliation that might lead to both lower mortality/morbidity risks and perhaps to improve neurodevelopmental outcomes. Our strategy was to perform an initial hybrid approach using simple surgical and transcatheter techniques of cardiopulmonary bypass, followed by a more robust comprehensive stage II repair at 4–6 months, followed by a transcatheter Fontan completion.

Keywords

Patent Ductus Arteriosus Hypoplastic Left Heart Syndrome Left Pulmonary Artery Neurodevelopmental Outcome Balloon Atrial Septostomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.The Heart Center, Nationwide Children’s Hospital, Pediatrics & Internal Medicine, CardiologyThe Ohio State UniversityColumbusUSA

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