Hybrid palliation and subsequently comprehensive stage II repair for hypoplastic left heart syndrome: the first experience from our country

Sertaç Haydin; Ender Ödemiş; Erkut Öztürk; Selen Onan; Alper Güzeltaş

doi:10.5606/tgkdc.dergisi.2015.10015

Sertaç Haydin¹, Ender Ödemiş², Erkut Öztürk², Selen Onan¹, Alper Güzeltaş²

¹İstanbul Mehmet Akif Ersoy Göğüs Kalp Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Pediatrik Kalp Damar Cerrahisi Kliniği, İstanbul, Türkiye
²İstanbul Mehmet Akif Ersoy Göğüs Kalp Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Pediatrik Kardiyoloji Kliniği, İstanbul, Türkiye

DOI : 10.5606/tgkdc.dergisi.2015.10015

Hypoplastic left heart syndrome (HLHS) is a common physiological single ventricle pathology. In the first stage palliative Norwood operation, modified Blalock-Taussig shunt or right ventricle to pulmonary artery conduit (Sano shunt) are used. Recently, a “hybrid procedure”, combination of bilateral pulmonary artery banding and ductal stenting, was developed as an alternative to the surgical stage 1 Norwood palliation in HLHS patients. This procedure is particularly reserved for high risk cases, low birth weight, premature or unstable neonates. In this article, we report our first HLHS patient who was discharged following hybrid palliation and subsequently underwent a successful comprehensive stage II repair.

Keywords : Hybrid approach to hypoplastic left heart syndrome; hypoplastic left heart syndrome; neonates

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