Ross-Konno and Endocardial Fibroelastosis Resection After Hybrid Stage I Palliation in Infancy: Successful Staged Left-Ventricular Rehabilitation and Conversion to Biventricular Circulation After Fetal Diagnosis of Aortic Stenosis
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Anita J. Moon-Grady • Phillip Moore • Anthony Azakie
- چاپ و سال / کشور: 2011
Description
We report a patient who presented during fetal life with severe aortic stenosis, left-ventricular dysfunction, and endocardial fibroelastosis (evolving hypoplastic left heart syndrome). Management involved in utero and postnatal balloon aortic valvuloplasty for partial relief of obstruction and early postnatal hybrid stage I palliation until recovery of left-ventricular systolic function had occurred. The infant subsequently had successful conversion to a biventricular circulation by combining resection of endocardial fibroelastosis with single-stage Ross-Konno, aortic arch reconstruction, hybrid takedown, and pulmonary artery reconstruction.
Pediatr Cardiol (2011) 32:211–214 DOI 10.1007/s00246-010-9841-3 Received: 24 August 2010 / Accepted: 19 September 2010 / Published online: 24 November 2010
