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Ann Thorac Surg 2001;72:634-635
© 2001 The Society of Thoracic Surgeons

How to do it

Norwood-type operation with adjustable systemic–pulmonary shunt using hemostatic clip

Manoj Kuduvalli, MCha, Kenneth E. McLaughlin, MDa, Dipesh B. Trivedi, MCha, Marco Pozzi, MDa

a Department of Cardiac Surgery, Royal Liverpool Childrens’ Hospital, Alder Hey, Liverpool, United Kingdom

Accepted for publication March 23, 2001.

Address reprint requests to Dr Pozzi, Department of Cardiac Surgery, Royal Liverpool Childrens’ Hospital, Alder Hey, Liverpool L12 2AP, United Kingdom
e-mail: mpozzi75{at}hotmail.com

The postoperative course of a patient with hypoplastic left heart syndrome after a first-stage Norwood operation is governed to a large extent by the balance between the systemic and pulmonary circulations. Here we describe a simple and convenient technique for establishing an optimally sized systemic–pulmonary shunt by the application of a hemostatic clip. The method has been used in 6 patients.




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C. P. Napoleone, G. Oppido, E. Angeli, and G. Gargiulo
Adjustable aorto-pulmonary shunt to prevent temporary pulmonary over-circulation
Eur. J. Cardiothorac. Surg., February 1, 2006; 29(2): 253 - 254.
[Abstract] [Full Text] [PDF]


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