We present the case of a newborn with complex congenital heart disease who was treated with a neonatal Norwood operation and total anomalous pulmonary venous return repair. During the Norwood reconstruction, a novel technique was utilized to perfuse the head, lower body, and heart continuously to minimize ischemic injury.
CavalcantiPESáMPSantosCA, et al. Stratification of complexity in congenital heart surgery: comparative study of the Risk Adjustment for Congenital Heart Surgery (RACHS-1) method, Aristotle basic score and Society of Thoracic Surgeons-European Association for Cardio- Thoracic Surgery (STS-EACTS) mortality score. Rev Bras Cir Cardiovasc2015; 30: 148–158.
2.
GaynorJWCollinsMHRychikJ, et al. Long-term outcome of infants with single ventricle and total anomalous pulmonary venous connection. J Thorac Cardiovasc Surg1999; 117: 506–513.
3.
LodgeAJAndersenNDTurekJW.Recent advances in congenital heart surgery: alternative perfusion strategies for infant aortic arch repair. Curr Cardiol Rep2019; 21: 13.
4.
TweddellJSMitchellMEWoodsRK, et al. Construction of the right ventricle-to-pulmonary artery conduit in the norwood: the “dunk” technique. Oper Tech Thorac Cardiovasc Surg2012; 17: 81–98.
5.
PoirierNCDrummond-WebbJJHisamochiK, et al. Modified Norwood procedure with a high-flow cardiopulmonary bypass strategy results in low mortality without late arch obstruction. J Thorac Cardiovasc Surg2000; 120: 875–884.
6.
KelleAMBackerCLGossettJG, et al. Total anomalous pulmonary venous connection: results of surgical repair of 100 patients at a single institution. J Thorac Cardiovasc Surg2010; 139: 1387–1394.
