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A Left Anterior Extrapleural Approach to Adjust Right Ventricle–Pulmonary Artery Shunt Flow Using Hemostatic Clips After the Norwood Operation
Author(s) -
Matsushima Shunsuke,
Oshima Yoshihiro,
Maruo Ayako,
Hasegawa Tomomi,
Matsuhisa Hironori,
Noda Rei,
Iwaki Ryuma
Publication year - 2015
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12545
Subject(s) - medicine , clips , shunt (medical) , ventricle , pulmonary artery , surgery , norwood procedure , left pulmonary artery , cardiology , blood flow , hypoplastic left heart syndrome , heart disease
ABSTRACT Adjusting right ventricle–pulmonary artery shunt flow with placement of hemostatic clips in the Norwood operation is a useful technique for precise control of pulmonary blood flow in the acute postoperative period. This report describes our technique for optimizing right ventricle–pulmonary artery shunt flow with metal clips through a left anterior extrapleural approach, which can be performed safely and minimally invasively without sternal reopening. This procedure may decrease morbidity and contribute to long‐term clinical improvement in patients undergoing the Norwood operation. doi: 10.1111/jocs.12545 (J Card Surg 2015;30:532–534)