| Title |
Kairiosios širdies hipoplazijos sindromo pirmo chirurginio gydymo etapo pradinė patirtis / |
| Translation of Title |
Initial experience in first-stage surgical treatment of hypoplastic left heart syndrome. |
| Authors |
Tarutis, Virgilijus ; Lebetkevičius, Virgilijus ; Versockas, Kęstutis ; Bliūdžiūtė, Asta ; Jurgelienė, Žydrė ; Umbrasaitė, Solveiga ; Sudikienė, Rita ; Liekienė, Daina ; Lankutis, Kęstutis ; Žilinskas, Vidmantas-Jonas ; Sirvydis, Vytautas-Jonas |
| DOI |
10.15388/LietChirur.2007.3.2224 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija. 2007, t. 5, Nr. 3, p. 448-451.. ISSN 1392-0995 |
| Abstract [eng] |
Background / objective: Hypoplastic left heart syndrome (HLHS) is one of the most complex congenital heart defects. The incidence of HLHS is 1 in 4000 to 6000 live births. The mortality rate exceeds 90% without treatment in the first year of life. We review the initial experience in the surgical treatment of HLHS at our Centre. Patients and methods: There were 9 children operated on for HLHS from the year 2005 till now. Six of them went to operation in hemodinamically stable condition and three had a substantial insufficiency of systemic circulation. Four underwent Norwood I procedure with modified Blalock-Taussig shunt and five had Sano modification. Results: The first-stage Norwood procedure was successful in five (55.6%) cases - three with B-T shunt and 2 with Sano. Conclusion: Surgical treatment of HLHS remains in the learning curve period at our institution. We expect the rise of survival rate with the increase of case load and a more selective approach considering the risk factors. |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2007 |
| CC license |
|
