Open AccessHybridizing the hybrid: a “serendipitous bridge” to heart transplantation in a child with hypoplastic left heart syndrome
Author(s) -
Sanjog Rawtani,
Misty Reis,
Sanjiv K. Gandhi
Publication year - 2021
Publication title -
indian journal of thoracic and cardiovascular surgery/indian journal of thoracic and cardiovascular surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.114
H-Index - 9
eISSN - 0973-7723
pISSN - 0970-9134
DOI - 10.1007/s12055-020-01088-8
Subject(s) - hypoplastic left heart syndrome , medicine , ductus arteriosus , vascular surgery , cardiac surgery , cardiothoracic surgery , heart transplantation , surgery , discontinuation , transplantation , cardiology , heart disease
We report a unique experience with stage 1 palliation of hypoplastic left heart syndrome (HLHS) using the hybrid approach. The tortuous anatomy of the ductus arteriosus precluded stenting. Persistent ductal patency and ability to support the systemic circulation adequately after prolonged prostaglandin E1 (PGE1) infusion and its subsequent discontinuation presented us with a novel approach to hybrid palliation of hypoplastic left heart syndrome. Our experience offers a tempting approach, but it should not be considered a standard alternative management option to stage I hybrid palliation based on a single case report.