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  • Title: Modification of the Norwood procedure in isomeric complete atrio-ventricular canal and hypoplastic right aortic arch.
    Author: García E, Marianeschi SM, Boni L, Ramos MV, Jiménez I, Berdat PA, Comas JV.
    Journal: J Cardiovasc Med (Hagerstown); 2009 Jun; 10(6):489-91. PubMed ID: 19365275.
    Abstract:
    We report a modification of the Norwood stage I procedure in a neonate with right aortic arch and complete atrio-ventricular canal in a variant of hypoplastic heart syndrome. Because of the unusual anatomy, the neo-aorta was reconstructed with a specially trimmed homograft patch and the pulmonary flow was maintained with implantation of a right ventricle to pulmonary artery shunt on the left side of the aorta. The patient had a favourable outcome and is now awaiting the stage II procedure.
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