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Difference between revisions of "Congenital heart disease"
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Congenital heart disease (view source)
Revision as of 17:41, 11 January 2011
, 17:41, 11 January 2011→Paediatric cardiac surgery
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==Paediatric cardiac surgery== | ==Paediatric cardiac surgery== | ||
====Norwood procedure==== | ====Norwood procedure==== | ||
Indication: | |||
*LHHS - following birth. | |||
Details: | |||
*Pulmonary artery is attached to the aorta. | *Pulmonary artery is attached to the aorta. | ||
*The lungs are perfused by a Blalock-Taussig shunt (subclavian artery -> pulmonary artery) or a Sano shunt (single ventricle -> synthetic conduit -> pulmonary artery). | *The lungs are perfused by a Blalock-Taussig shunt (subclavian artery -> pulmonary artery) or a Sano shunt (single ventricle -> synthetic conduit -> pulmonary artery). | ||
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*[http://hlhs-awareness-uk.com/norwood.aspx LHHS (hlhs-awareness-uk.com)]. | *[http://hlhs-awareness-uk.com/norwood.aspx LHHS (hlhs-awareness-uk.com)]. | ||
*[http://www.heart.org/HEARTORG/Conditions/CongenitalHeartDefects/AboutCongenitalHeartDefects/Single-Ventricle-Defects_UCM_307037_Article.jsp Single ventricle defects (heart.org)]. | *[http://www.heart.org/HEARTORG/Conditions/CongenitalHeartDefects/AboutCongenitalHeartDefects/Single-Ventricle-Defects_UCM_307037_Article.jsp Single ventricle defects (heart.org)]. | ||
====Bidirectional Glenn Shunt==== | |||
*[[AKA]] bidirectional cavopulmonary shunt (BCPS). | |||
Indication: | |||
*LHHS - following Norwood procedure, reduce work done by the heart. | |||
Details: | |||
*The SVC is hooked-up to the right pulmonary artery. | |||
*The conduit connecting the ventricle and lungs (Blalock-Taussig shunt or Sano shunt) is disconnected. | |||
Image: | |||
*[http://www.chitexas.org/hlh-surgical.asp Bidirectional Glenn Shunt (chitexas.org)]. | |||
====Fontan procedure==== | ====Fontan procedure==== | ||
* | *De-oxygenated blood bypasses the heart en route to the lungs. | ||
There is the original Fontan procedure and two variants: | There is the original Fontan procedure and two variants: | ||