Abstract
The neurodevelopmental outcomes after surgical repair of hypoplastic left heart syndrome (HLHS) are the worst of any congenital heart disease (CHD). In addition, the mortality for the conventional stage I surgical approach, the Norwood/Sano procedure, remains high in many institutions across the globe. Although our institution mortality was acceptably low, we wondered whether there could be a more “gentle” approach to stage I palliation that might lead to both lower mortality/morbidity risks and perhaps to improve neurodevelopmental outcomes. Our strategy was to perform an initial hybrid approach using simple surgical and transcatheter techniques of cardiopulmonary bypass, followed by a more robust comprehensive stage II repair at 4–6 months, followed by a transcatheter Fontan completion.
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References
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© 2016 Springer International Publishing Switzerland
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Cheatham, J.P. (2016). Hybrid Approach: The Columbus Way. In: Butera, G., Cheatham, J., Pedra, C., Schranz, D., Tulzer, G. (eds) Fetal and Hybrid Procedures in Congenital Heart Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-40088-4_29
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DOI: https://doi.org/10.1007/978-3-319-40088-4_29
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