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Case Reports

Neonatal Bronchial Reconstruction After Norwood Procedure for Hypoplastic Left Heart Syndrome

Division of Cardiothoracic Surgery, Sections of Pediatric Cardiac Surgery and Thoracic Surgery, Holtz Children's Hospital/Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, Florida

Accepted for publication September 11, 2008.

^_* Address correspondence to Dr Ricci, Pediatric Cardiac Surgery, Division of Cardiothoracic Surgery, University of Miami, Holtz Center 3072 (R-114), 1611 NW 12th Ave, Miami, FL 33136 (Email: mricci{at}med.miami.edu).

Left bronchial obstruction is a rare complication after neonatal aortic arch reconstruction. This article describes the surgical management of a neonate with hypoplastic left heart syndrome who underwent a stage 1 Norwood reconstruction. A mediastinal infection developed with an abscess that caused left bronchial obstruction and disruption. The left bronchus was repaired successfully by using a pedicle intercostal muscle flap that was used to cover the defect.