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Ann Thorac Surg 2003;75:1008-1010
© 2003 The Society of Thoracic Surgeons

Case report

Pulmonary artery banding before Norwood procedure

Christian Pizarro, MDa*, William I. Norwood, MD, PhDa

a Nemours Cardiac Center, Alfred I. duPont Hospital for Children, Wilmington, Delaware, USA

Accepted for publication September 9, 2002.

* Address reprint requests to Dr Pizarro, Nemours Cardiac Center, Alfred I. duPont Hospital for Children, 1600 Rockland Rd, Wilmington, DE 19899, USA
e-mail: cpizarro{at}nemours.org

Described here is the use of bilateral pulmonary artery banding as a means to achieve effective restoration of adequate systemic blood flow before a Norwood procedure in two newborns with hypoplastic left heart syndrome who presented after birth with a severe imbalance of Qp/Qs and multiorgan system dysfunction despite usual pharmacologic and ventilatory strategies.




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