TY - JOUR
T1 - Heart transplantation for hypoplastic left heart syndrome
T2 - Modified technique for reducing circulatory arrest time
AU - Vricella, L. A.
AU - Razzouk, A. J.
AU - Del Rio, M.
AU - Gundry, S. R.
AU - Bailey, L. L.
N1 - Background: The surgical technique of heart transplantation as therapy in infants with hypoplastic left heart syndrome was first reported over a decade ago. Since that time, incremental refinements have evolved that both facilitate the operation and potentially reduce the perceived neurologic hazards associated with the use of hypothermic circulatory arrest.
PY - 1998
Y1 - 1998
N2 - Background: The surgical technique of heart transplantation as therapy in infants with hypoplastic left heart syndrome was first reported over a decade ago. Since that time, incremental refinements have evolved that both facilitate the operation and potentially reduce the perceived neurologic hazards associated with the use of hypothermic circulatory arrest. Methods: Minor technical adjustments have permitted infant heart transplantation to be accomplished with relative ease while markedly limiting the need for complete circulatory arrest. Low-flow hypothermic systemic perfusion is used for atrial implantation, reserving circulatory arrest for arch reconstruction only. This is accomplished by use of an active (pump) sucker for venous return. Result: Mean circulatory arrest time with the current technique has been 26 minutes. Conclusion: Minor technical refinements have resulted in a marked reduction in hypothermic circulatory arrest time during infant heart transplantation for hypoplastic left heart syndrome.
AB - Background: The surgical technique of heart transplantation as therapy in infants with hypoplastic left heart syndrome was first reported over a decade ago. Since that time, incremental refinements have evolved that both facilitate the operation and potentially reduce the perceived neurologic hazards associated with the use of hypothermic circulatory arrest. Methods: Minor technical adjustments have permitted infant heart transplantation to be accomplished with relative ease while markedly limiting the need for complete circulatory arrest. Low-flow hypothermic systemic perfusion is used for atrial implantation, reserving circulatory arrest for arch reconstruction only. This is accomplished by use of an active (pump) sucker for venous return. Result: Mean circulatory arrest time with the current technique has been 26 minutes. Conclusion: Minor technical refinements have resulted in a marked reduction in hypothermic circulatory arrest time during infant heart transplantation for hypoplastic left heart syndrome.
UR - https://www.scopus.com/pages/publications/0032441018
UR - https://www.scopus.com/pages/publications/0032441018#tab=citedBy
M3 - Article
C2 - 9883756
SN - 1053-2498
VL - 17
SP - 1167
EP - 1171
JO - Journal of Heart and Lung Transplantation
JF - Journal of Heart and Lung Transplantation
IS - 12
ER -