Norwood stage 1 operation with Sano modification

Emin Alp Alayunt; Yüksel Atay; Arif Ruhi Özyürek; Fatma Zekiye Aşkar; Kenan Değirmenciler; Alkan Arpaçay

Emin Alp Alayunt¹, Yüksel Atay¹, Arif Ruhi Özyürek², Fatma Zekiye Aşkar³, Kenan Değirmenciler¹, Alkan Arpaçay¹

¹Ege Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı, İzmir
²Ege Üniversitesi Tıp Fakültesi Pediatrik Kardiyoloji Bilim Dalı, İzmir
³Ege Üniversitesi Tıp Fakültesi Anestezi ve Reanimasyon Anabilim Dalı, İzmir

Hypoplastic left heart syndrome (HLHS) is a very unique single ventricle pathology among congenital cardiac anomalies. This syndrome is characterized by hypoplasia or absence of the left ventricle, mitral and aortic valve, and severe hypoplasia of the ascending aorta. While an aortopulmonary shunt is used for pulmonary circulation in classical Norwood procedure which is a first stage palliation, right ventricle to pulmonary artery shunt is used in Sano modification. This case report presents a successful Norwood stage 1 palliation with Sano modification in a patient with HLHS diagnosed in fetal period.

Keywords : Single ventricle; hypoplastic left heart syndrome; Norwood stage I procedure; Sano modification

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