Single-Center Experience of Arch Reconstruction in the Setting of Norwood Operation

Aortic arch geometry after the Norwood procedure: The value of arch angle augmentation

“…Despite these advancements, recoarctation of the reconstructed neoaorta has been recognized as a frequently observed complication following the Norwood procedure, which is significantly related to late morbidity and mortality. The documented incidence of the recoarctation ranges from 5% to 40% (4)(5)(6)(7)(8).…”

Recurrent Coarctation After Neonatal Univentricular and Biventricular Norwood-Type Arch Reconstruction

“…(Ann Thorac Surg 2016;-:---) Ó 2016 by The Society of Thoracic Surgeons R ecurrent coarctation in patients with single-ventricle (SV) anatomy after the Norwood procedure (NP) has been evaluated in several studies, with a variable reported incidence of 9% to 38% and few risk factors for recurrent coarctation identified [1][2][3][4][5][6][7][8][9]. In our center, increasing familiarity with aortic augmentation used for the NP has translated into the use of a Norwood-type aortic arch reconstruction (NTAR) in patients with 2-ventricle (2V) anatomy with aortic coarctation and diffuse arch hypoplasia.…”

Surgical Considerations in the Management of Hypoplastic Left Heart Syndrome

“…Even slight aberrations in 130 Seminars in Cardiothoracic and Vascular Anesthesia 17 (2) ventilation or inotropic manipulations may substantially alter systemic or pulmonary blood flow and increase early morbidity and/or mortality for this procedure.…”

“…Seminars in Cardiothoracic and Vascular Anesthesia 17 (2) period around separation from bypass and attention to the rhythm is critical. Atrial and ventricular epicardial leads are placed and pacing at approximately 150 beats per minute, if necessary, can be instituted for bradycardia or junctional rhythms.…”