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Ann Thorac Surg 2007;84:1746-1748. doi:10.1016/j.athoracsur.2007.05.068
© 2007 The Society of Thoracic Surgeons
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Michiaki Imamura
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Case Reports

Hypoplastic Left Heart Syndrome, Interrupted Inferior Vena Cava, Biliary Atresia

Michiaki Imamura, MD, PhDa,*, Umesh Dyamenahalli, MDb, Ritu Sachdeva, MDb, Evan R. Kokoska, MDc, Robert D.B. Jaquiss, MDa

a Division of Pediatric Cardiothoracic Surgery, University of Arkansas for Medical Sciences, Arkansas Children’s Hospital, Little Rock, Arkansas
b Division of Pediatric Cardiology, University of Arkansas for Medical Sciences, Arkansas Children’s Hospital, Little Rock, Arkansas
c Division of Pediatric General Surgery, University of Arkansas for Medical Sciences, Arkansas Children’s Hospital, Little Rock, Arkansas

Accepted for publication May 29, 2007.

* Address correspondence to Dr Imamura, Division of Pediatric Cardiothoracic Surgery, Arkansas Children’s Hospital, 800 Marshall St, Slot 677, Little Rock, AR 72202 (Email: imamuramichiaki{at}uams.edu).

A neonate was diagnosed with hypoplastic left heart syndrome, heterotaxy syndrome, and interrupted inferior vena cava soon after birth. At 6 days old she underwent the Norwood procedure using Sano modification. Postoperatively she had persistent direct hyperbilirubinemia and was diagnosed with biliary atresia for which she underwent a Kasai procedure at 29 days old. At 10 months she underwent the Kawashima procedure. She is now 20 months old and has been thriving without any jaundice. This case report illustrates that even in the presence of major multiple congenital anomalies, staged reconstruction for hypoplastic left heart syndrome can be successfully performed.




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T. Tomoyasu, K. Miyaji, T. Miyamoto, and N. Inoue
The bilateral pulmonary artery banding for hypoplastic left heart syndrome with a diminutive ascending aorta
Interactive CardioVascular and Thoracic Surgery, April 1, 2009; 8(4): 479 - 481.
[Abstract] [Full Text] [PDF]


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