Use of a saphenous venous homograft for constructing a conduit from the right ventricle to the pulmonary arteries in the Norwood procedure

• Published in: Cardiology in the young Vol. 14; no. 3; pp. 325 - 327
• Main Authors: Vricella, Luca A., Crosson, Jane E., Cameron, Duke E.
• Format: Journal Article
• Language: English
• Published: Cambridge, UK Cambridge University Press 01.06.2004
• Subjects: Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation; Brief Report; Cryopreservation; functionally single ventricle; Heart Ventricles - surgery; Humans; Hypoplastic left heart syndrome; Hypoplastic Left Heart Syndrome - surgery; Infant, Newborn; Male; palliation; Palliative Care; Postoperative period; Pulmonary arteries; Pulmonary Artery - surgery; Saphenous Vein - transplantation; Veins & arteries; palliation; functionally single ventricle; Hypoplastic left heart syndrome
• ISSN: 1047-9511; 1467-1107
• DOI: 10.1017/S1047951104003130

The use of a conduit of polytetrafluoroethylene placed between the right ventricle and the pulmonary arteries as source of pulmonary arterial supply during the first stage of palliation for the hypoplastic left heart syndrome has facilitated post-operative management and resulted in decreased mortality. We describe here the use of a cryopreserved saphenous vein inserted in reversed direction to create the connection between the right ventricle and the pulmonary arteries in a neonate with low birth weight undergoing the modified Norwood procedure.