Recoarctation After the Norwood I Procedure for Hypoplastic Left Heart Syndrome: Incidence, Risk Factors, and Treatment Options Julie Cleuziou, MD, Jelena.

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Presentation transcript:

Recoarctation After the Norwood I Procedure for Hypoplastic Left Heart Syndrome: Incidence, Risk Factors, and Treatment Options Julie Cleuziou, MD, Jelena Kasnar-Samprec, MD, Jürgen Hörer, MD, PhD, Andreas Eicken, MD, PhD, Rüdiger Lange, MD, PhD, Christian Schreiber, MD, PhD The Annals of Thoracic Surgery Volume 95, Issue 3, Pages 935-940 (March 2013) DOI: 10.1016/j.athoracsur.2012.11.015 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The Norwood procedure. Operative view of the Y incision (arrows) enlarging the descending aorta. The Annals of Thoracic Surgery 2013 95, 935-940DOI: (10.1016/j.athoracsur.2012.11.015) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Kaplan-Meier analysis. Freedom from intervention for recoarctation of the aorta in 97 patients after the Norwood I procedure. The Annals of Thoracic Surgery 2013 95, 935-940DOI: (10.1016/j.athoracsur.2012.11.015) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Outcome in patients with hypoplastic left heart syndrome (HLHS) after the Norwood I procedure. (BCPA = bidirectional cavopulmonary anastomosis; re-CoA = recoarctation.) The Annals of Thoracic Surgery 2013 95, 935-940DOI: (10.1016/j.athoracsur.2012.11.015) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Pressure gradients across the aortic arch in 12 patients with recoarctation after the Norwood I procedure, before bidirectional cavopulmonary anastomosis (BCPA), after treatment, and before total cavopulmonary connection (TCPC). The Annals of Thoracic Surgery 2013 95, 935-940DOI: (10.1016/j.athoracsur.2012.11.015) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Angiographic image of a patient (A) before and (B) after balloon angioplasty of a recoarctation after the Norwood I procedure. The Annals of Thoracic Surgery 2013 95, 935-940DOI: (10.1016/j.athoracsur.2012.11.015) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions