Open AccessEarly result of stage I and II hybrid approach for hypoplastic left heart syndrome in Saudi Arabia
Author(s) -
Mashail Alobaidan,
Jassim Abdulhameed
Publication year - 2014
Publication title -
the egyptian heart journal /the egyptian heart journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.212
H-Index - 9
eISSN - 2090-911X
pISSN - 1110-2608
DOI - 10.1016/j.ehj.2013.12.028
Subject(s) - medicine , hypoplastic left heart syndrome , stage (stratigraphy) , surgery , occlusion , cardiology , heart disease , paleontology , biology
BackgroundThe prognosis of Hypo plastic left heart syndrome is bad and the results remain suboptimal for the traditional staged repair of these patients.Utilizing surgical and transcatheter techniques, a hybrid strategy was developed to achieve the Fontan circulation.MethodTotal of 18 newborns underwent hybrid stage I for hypoplastic left heart syndrome (HLHS) between May 2006 and Feb 2010, 2 patients with Columbus approach and the remaining with Giessen approach , clinical and echocardiography were done Pre and post procedure and in the Interstage period , 9 patients achieved hybrid stage II which is comprehensive surgical stage with close follow up.ResultThe mean age of patients underwent hybrid stage I is 11 days, mean weight is 3.1kg, median hospital stay is 4days, and median ventilatory support is 4days. Mortality is 20%.9 patients achieved hybrid stage II, mean age is 7.9 mos, mean weight is 6.7kg, median ventilatory support is 5days, and median hospital stay is 11days. 2 patients Complicated with LPA occlusion needing intervention. One death (11.1%). 2 patient has stage III, 6 patients are pending the stage III.ConclusionThough small number and short experience, the result of hybrid approach is good and comparable to other center and it can achieve acceptable short term outcomes in patient with HLHS