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Ann Thorac Surg 2000;70:2147-2149
© 2000 The Society of Thoracic Surgeons

Case report

Precoronary stenosis after stage I palliation for hypoplastic left heart syndrome

Mustafa H. Abdullah, MBBCha,b,c, Glen S. Van Arsdell, MDa,b,c, Lisa K. Hornberger, MDa,b,c, Ian Adatia, MBChBa,b,c

a Divisions of Cardiology and Cardiovascular Surgery, The Toronto Hospital for Sick Children, Toronto, Ontario, Canada
b Departments of Critical Care Medicine, Surgery, and Pediatrics, The Toronto Hospital for Sick Children, Toronto, Ontario, Canada
c University of Toronto, Toronto, Ontario, Canada

Accepted for publication May 18, 2000.

Address reprint requests to Dr Adatia, Critical Care Medicine and Cardiology, The Hospital For Sick Children, Toronto, ON, M5G 1X8, Canada
e-mail: ian.adatia{at}sickkids.on.ca

We report a patient with stenosis of the native ascending aorta after palliation of hypoplastic left heart syndrome and aortic atresia. We describe the approach to diagnosis, temporary support with extracorporeal membrane oxygenation, and successful surgical reintervention. Stenosis of the native ascending aorta is an important, potentially reversible cause of acute, early postoperative ventricular dysfunction.




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[Abstract] [Full Text] [PDF]


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