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Ann Thorac Surg 1995;60:433-434
© 1995 The Society of Thoracic Surgeons

Articles

Neonatal pulmonary vascular disease in hypoplastic left heart syndrome

FRCS Stacey Brann, FRCS William J. Brawn, MD Faro Raafat, MD Narayanswami Sreeram*

Heart Unit, Birmingham Children's Hospital, Birmingham, England

Accepted for publication December 12, 1994.

* Address reprint requests to Dr Sreeram, Heart Unit, Birmingham Children's Hospital, Ladywood Middleway, Birmingham B16 8ET, England.

A term neonate with hypoplastic left heart syndrome underwent surgical palliation using the Norwood procedure on day 2 of life. The postoperative course was complicated by recurrent systemic desaturation leading to death. Postmortem histologic examination of lung tissue confirmed the clinical impression of fixed pulmonary vascular disease. Some neonates with a restrictive interatrial communication may have pulmonary vascular disease at birth, which will negatively influence survival irrespective of the type of palliation undertaken.




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