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Ann Thorac Surg 2009;88:690-691. doi:10.1016/j.athoracsur.2008.11.071
© 2009 The Society of Thoracic Surgeons
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Improved Pulmonary Artery Geometry After a Norwood Procedure by Using a Venaflo II Graft as an RV–MPA Conduit

Chung-Dann Kan, MDa,c, Hsuan-yin Wu, MDa, Jieh-Neng Wang, MDb,c, Jing-Ming Wu, MDb, Yu-Jen Yang, MD, PhDa,c,*

a Department of Surgery, National Cheng Kung University, Taiwan, Republic of China
b Department of Pediatrics, National Cheng Kung University, Taiwan, Republic of China
c Institute of Clinical Medicine and Cardiovascular Research Center, Medical College, National Cheng Kung University, Taiwan, Republic of China

Accepted for publication November 26, 2008.

* Address correspondence to Dr Yang, Department of Surgery, National Cheng Kung University Hospital, 138 Sheng-Li Rd, Tainan, Taiwan, 704, Republic of China (Email: kcd56{at}mail.ncku.edu.tw).

Sano's modification of the right ventricle to main pulmonary artery shunt improves the surgical results of the Norwood procedure for hypoplastic left heart syndrome. Usually the transected distal stump of the main pulmonary artery is reconstructed by direct suturing of a polytetrafluoroethylene tube or suturing on a pericardial bifurcation patch. However, the resulting pulmonary artery geometry significantly affects the outcome of the staged procedure. Herein, we report our surgical strategy to improve the pulmonary artery geometry by using a commercially available Venaflo II graft (Bard, Tempe, AZ) as the right ventricle to main pulmonary artery conduit, to avoid the potential for pulmonary artery stenosis after the Norwood procedure.






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