Impact of Norwood versus hybrid palliation on cardiac size and function in hypoplastic left heart syndrome

Heynric B. Grotenhuis, Bram Ruijsink, Devin Chetan, Andreea Dragulescu, Mark K. Friedberg, Yasuhiro Kotani, Christopher A. Caldarone, Osami Honjo, Luc L. Mertens

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8 Citations (Scopus)

Abstract

Objective The hybrid approach for hypoplastic left heart syndrome (HLHS) could theoretically result in better preservation of right ventricular (RV) function then the Norwood procedure. The aim of this study was to compare echocardiographic indices of RV size and function in patients after Norwood and hybrid throughout all stages of palliation. Methods 76 HLHS patients (42 Norwood, 34 hybrid) were retrospectively studied. Echocardiography was obtained before stage I, before and after stage II, and before and after Fontan. Median follow-up was 4.9 years (range 1.1-8.5). Results Baseline characteristics before stage I were similar. Hybrid patients demonstrated a significant decrease in RV fractional area change (FAC) between baseline and pre-stage II (36±9% vs 27±6%; p

Original languageEnglish
JournalHeart
DOIs
Publication statusAccepted/In press - Feb 23 2016
Externally publishedYes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Grotenhuis, H. B., Ruijsink, B., Chetan, D., Dragulescu, A., Friedberg, M. K., Kotani, Y., Caldarone, C. A., Honjo, O., & Mertens, L. L. (Accepted/In press). Impact of Norwood versus hybrid palliation on cardiac size and function in hypoplastic left heart syndrome. Heart. https://doi.org/10.1136/heartjnl-2015-308787