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Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu · Mar 2018
ReviewGiessen Procedure as Comprehensive Stage II Palliation With Aortic Arch Reconstruction After Hybrid Bilateral Pulmonary Artery Banding and Ductal Stenting for Hypoplastic Left Heart Syndrome.
- Uygar Yörüker and Hakan Akintürk.
- Department of Pediatric Cardiac Surgery, Pediatric Heart Center, Justus Liebig University, Giessen, Germany.
- Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2018 Mar 1; 21: 19-27.
AbstractThis article reviews our experience using hybrid stage I palliation in the neonatal period and subsequently with comprehensive stage II palliation for hypoplastic left heart syndrome. Between June 1998 and April 2017, 154 patients with the diagnosis of hypoplastic left heart syndrome and variants underwent a hybrid stage I palliation (bilateral pulmonary artery banding and ductal stenting). One hundred thirty-nine patients could be further univentricularly palliated. One hundred twenty-one patients underwent a comprehensive stage II operation with an operative mortality of 6.6%. The hybrid procedure provides reproducible results with reduced in-hospital, interstage, and long-term mortality and lower rates of aortic arch reinterventions.Copyright © 2017 Elsevier Inc. All rights reserved.
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