Hypoplastic Left Heart Syndrome With Right Ventricle Compression

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Presentation transcript:

Hypoplastic Left Heart Syndrome With Right Ventricle Compression Tai Fuchigami, MD, Masahiko Nishioka, MD, Kazuhiro Takahashi, MD, PhD, Toru Akashige, MD, Nobuhiro Nagata, MD, PhD The Annals of Thoracic Surgery Volume 100, Issue 1, Pages e15-e17 (July 2015) DOI: 10.1016/j.athoracsur.2015.04.100 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Transthoracic echocardiography showing relatively large left ventricle in hypoplastic left heart syndrome (HLHS), which shifted intraventricular septum to right and greatly compressed right ventricle. (A), systole; (B), diastole. (LV = left ventricle; RV = right ventricle.) The Annals of Thoracic Surgery 2015 100, e15-e17DOI: (10.1016/j.athoracsur.2015.04.100) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Pulmonary angiography showing banding portions (arrows). (A) Before balloon dilation; (B) after balloon dilation; (C) preoperative catheterization; and (D) postoperative catheterization. The Annals of Thoracic Surgery 2015 100, e15-e17DOI: (10.1016/j.athoracsur.2015.04.100) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Reconstructed aortic arch on beating heart. (A) On beating heart. Cardioplegia spike was placed in proximal ascending aorta (AAo) and connected to side arm of arterial circuit. Proximal portion of AAo (outlined arrows) had not yet been incised. (B) On cardiac arrest. After anastomosing distal portion of aortic arch and descending aorta (DAo) and filling the deficit with glutaraldehyde-treated autologous pericardial patch, we incised proximal portion of AAo. That portion of AAo and frontal portion of neoarch were anastomosed. (AP = glutaraldehyde-treated autologous pericardial patch; BCA = brachiocephalic artery; ePTFE = expanded polytetrafluoroethylene; LCA = left common carotid artery; LSCA = left subclavian artery; MPA = main pulmonary artery.) The Annals of Thoracic Surgery 2015 100, e15-e17DOI: (10.1016/j.athoracsur.2015.04.100) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions