Case Report
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Hybrid approach in two cases with hypoplastic left heart syndrome

Year 2015, Volume: 12 Issue: 2, 306 - 310, 30.08.2015

Abstract

Hypoplastic left heart syndrome (HLHS) encompasses a spectrum of congenital cardiac defects which
mostly include left ventricular hypoplasia or atresia, mitral valve hypoplasia or atresia and ascending aortic
hypoplasia and atresia. Hypoplastic left heart syndrome is a leading cause of neonatal mortality. In recent
years, popularity of hybrid approach has increased. Hybrid procedures which requires close cooperations
between paediatric cardiologists and cardiac surgeons includes a less invasive primary procedure;
integrating interventional cardiology approaches and surgical techniques. Herein, we report two cases with
hypoplastic left heart syndrome. We performed hybrid approach including ductal stenting and bilateral
pulmonary banding on these patients. 

References

  • 1.Alayunt EA, Atay Y, Uç H: Hipoplastik Sol Kalp Sendromu. In: Duran E, ed. Kalp ve Damar Cerrahisi. 1.Baskı. İstanbul; Çapa Tıp Kitabevi ve Yay. Hizmetleri, Ulus Matbaacılık 2004: 497-508. 2.Pizarro C, Derby CD, Baffa JM, et al. Improving the outcome of high-risk neonates with hypoplastic left heart syndrome: hybrid procedure or conventional surgial palliation. European Journal of Cardio-thoracic Surgery 2008; 33 (4): 613-18. 3.Norwood WI, Lang P, Casteneda AR, Campbell DN. Experience with operations for hypoplastic left heart syndrome. The Journal of thoracic and cardiovascular surgery 1981; 82 (4): 511–9. 4.Hazan E, Şişli E. Hypoplastic left heart syndrome. Turkiye Klinikleri J Pediatr Sci 2006; 2 (12): 64-7 5.Bacha E AM, Hijazi ZM. Hybrid Procedures in Pediatric Cardiac Surgery. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2005: 78-85. 6.Ashburn DA, McCrindle BW, Tchervenkov Cl,et al. Outcomes after the Norwood operation in neonates with critical aortic stenosis or aortic valve atresia. J Thorac Cardiovasc Surg 2003; 125 (5): 1070-82. 7.Brackley KJ, Kilby MD, Wright JG, et al. Outcome after prenatal diagnosis of hypoplastic left-heart syndrome: a case series. Lancet. 2000; 356 (9236):1143–7. 8.Galantowicz M, Cheatham JP, Phillips A, et al. Hybrid approach for hypoplastic left heart syndrome: intermediate results after the learning curve. Ann Thorac Surg 2008; 85 (6): 2063-70. 9.Robert H. Anderson, Edward J. Baker, Daniel J. Penny, Andrew N. Redington,, Michael L. Rigby and Gil rd Wernovsky. Paediatric Cardiology. 3 edition. Churchill Livignstone, Philadelphia, 2010: 978-986. Nadorlik HA 10.Egan MJ, Hill SL, Cheatham JP, Galantowicz M, Kovalchin JP. Predictors of ductus arteriosus in-stent stenosis in the hybrid approach to hypoplastic left heart syndrome. Pediatr Cardiol. 2013; 34 (3): 656-60. 11.Akintuerk H, Michel-Behnke I, Valeske K, et al. Stenting of the atrial duct and banding of the pulmonery arteries: basis for combined Norwood stage 1 and 2 repair in hypoplastic left heart. Circulation 2002; 105 (9): 1099-103. 12.Licht DJ, Shera DM, Clancy RR, et al. Brain maturation is delayed in infants with complex congenital heart defects. J Thorac Cardiovasc Surg 2009; 137 (3): 529-36.

Hibrid yaklaşımı uygulanan hipoplastik sol kalp sendromlu iki olgu

Year 2015, Volume: 12 Issue: 2, 306 - 310, 30.08.2015

Abstract

Hipoplastik sol kalp sendromu; çoğunlukla sol ventrikül hipoplazisi veya atrezisi, mitral kapak hipoplazisi
veya atrezisi ve çıkan aorta hipoplazisi veya atrezisini içeren doğumsal kalp defektleri spektrumunu kapsar.
Hipoplastik sol kalp sendromu neonatal mortalitenin önemli bir nedenidir. Son yıllarda hibrid yaklaşımın
popülaritesi artmıştır. Hibrid uygulama, pediyatrik kardiyolog ve kalp cerrahı arasında yakın işbirliği
gerektiren, girişimsel kardiyoloji yaklaşımları ve cerrahi teknikleri birleştiren ve daha az invaziv olan
birincil bir uygulamadır. Bu yazıda, hipoplastik sol kalp sendromu olan ve duktal stent ve iki taraflı pulmoner
arter bantlamayı içeren hibrid yaklaşımı uygulanan iki olguyu sunduk. 

References

  • 1.Alayunt EA, Atay Y, Uç H: Hipoplastik Sol Kalp Sendromu. In: Duran E, ed. Kalp ve Damar Cerrahisi. 1.Baskı. İstanbul; Çapa Tıp Kitabevi ve Yay. Hizmetleri, Ulus Matbaacılık 2004: 497-508. 2.Pizarro C, Derby CD, Baffa JM, et al. Improving the outcome of high-risk neonates with hypoplastic left heart syndrome: hybrid procedure or conventional surgial palliation. European Journal of Cardio-thoracic Surgery 2008; 33 (4): 613-18. 3.Norwood WI, Lang P, Casteneda AR, Campbell DN. Experience with operations for hypoplastic left heart syndrome. The Journal of thoracic and cardiovascular surgery 1981; 82 (4): 511–9. 4.Hazan E, Şişli E. Hypoplastic left heart syndrome. Turkiye Klinikleri J Pediatr Sci 2006; 2 (12): 64-7 5.Bacha E AM, Hijazi ZM. Hybrid Procedures in Pediatric Cardiac Surgery. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2005: 78-85. 6.Ashburn DA, McCrindle BW, Tchervenkov Cl,et al. Outcomes after the Norwood operation in neonates with critical aortic stenosis or aortic valve atresia. J Thorac Cardiovasc Surg 2003; 125 (5): 1070-82. 7.Brackley KJ, Kilby MD, Wright JG, et al. Outcome after prenatal diagnosis of hypoplastic left-heart syndrome: a case series. Lancet. 2000; 356 (9236):1143–7. 8.Galantowicz M, Cheatham JP, Phillips A, et al. Hybrid approach for hypoplastic left heart syndrome: intermediate results after the learning curve. Ann Thorac Surg 2008; 85 (6): 2063-70. 9.Robert H. Anderson, Edward J. Baker, Daniel J. Penny, Andrew N. Redington,, Michael L. Rigby and Gil rd Wernovsky. Paediatric Cardiology. 3 edition. Churchill Livignstone, Philadelphia, 2010: 978-986. Nadorlik HA 10.Egan MJ, Hill SL, Cheatham JP, Galantowicz M, Kovalchin JP. Predictors of ductus arteriosus in-stent stenosis in the hybrid approach to hypoplastic left heart syndrome. Pediatr Cardiol. 2013; 34 (3): 656-60. 11.Akintuerk H, Michel-Behnke I, Valeske K, et al. Stenting of the atrial duct and banding of the pulmonery arteries: basis for combined Norwood stage 1 and 2 repair in hypoplastic left heart. Circulation 2002; 105 (9): 1099-103. 12.Licht DJ, Shera DM, Clancy RR, et al. Brain maturation is delayed in infants with complex congenital heart defects. J Thorac Cardiovasc Surg 2009; 137 (3): 529-36.
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Details

Primary Language English
Journal Section Case Report
Authors

Savas Demirpence This is me

Baris Guven This is me

Ali Yıldırım

Emin Alp Alayunt This is me

Vedide Tavli

Publication Date August 30, 2015
Submission Date July 3, 2015
Acceptance Date July 20, 2015
Published in Issue Year 2015 Volume: 12 Issue: 2

Cite

Vancouver Demirpence S, Guven B, Yıldırım A, Alayunt EA, Tavli V. Hybrid approach in two cases with hypoplastic left heart syndrome. Harran Üniversitesi Tıp Fakültesi Dergisi. 2015;12(2):306-10.

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty