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Eur J Cardiothorac Surg 2000;17:85-87
© 2000 Elsevier Science NL

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Repair of aortic atresia and hypoplastic left heart syndrome without using graft material

Yorkshire Heart Centre, Calverley St, Leeds LS 1 3EX, UK

Corresponding author. Tel.: +44-113-392-5738; fax: +44-113-392-5865
e-mail: kevingw{at}ulth.uk

We present a modification of the Norwood stage 1 operation, where the neo-aorta was reconstructed without using graft material. After extensive mobilization of the descending aorta the ductus arteriosus was excised and an end-to-end anastomosis was created between the main pulmonary artery and the distal ductal–aortic junction. The proximal ascending aorta was anastomosed side-to-side to the neo-aorta. Finally either a direct side-to-side anastomosis was created or a 3.5-mm Gore-Tex graft was implanted between the innominate artery and the right pulmonary artery. The first three patients had a favourable outcome: echocardiography showed good ventricular function and acceptable saturation (85%) at the follow up.

Key Words: Aortic atresia • Hypoplastic left heart syndrome • Modified surgical correction

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