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Luca A Vricella
Piya Samankatiwat
Marc R de Leval
Victor T Tsang
Pascal R Vouhé
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Right arrow Myocardial protection
Asian Cardiovasc Thorac Ann 2004;12:372-373
© 2004 Asia Publishing EXchange Ltd

HOW TO DO IT

Simplified Antegrade Cerebral Perfusion and Myocardial Protection during Stage I Norwood Procedure

Luca A Vricella, MD, Piya Samankatiwat, MD, Marc R de Leval, MD, Victor T Tsang, MD, Pascal R Vouhé, MD1

Cardiothoracic Unit, Great Ormond Street Hospital for Children, London, United Kingdom
1 Groupe Hospitalier Necker-Enfants Malades, Service de Chirurgie Cardiaque Pediatrique, Paris, France

For reprint information contact: Victor Tsang, MD Tel: 44 20 7813 8159 Fax: 44 20 7430 1281 Email: tsangv{at}gosh.nhs.uk Cardiothoracic Unit, Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, London WC1N 3JH, United Kingdom.

Several important modifications have been introduced in the intraoperative management of neonates with hypoplastic left heart syndrome during first-stage palliation. Among these, utilization of selective antegrade cerebral perfusion and interposition of a conduit between the right ventricle and pulmonary artery are currently favored by many centers. We briefly describe our current approach to the modified stage I Norwood procedure.






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