Giessen Procedure as Comprehensive Stage II Palliation With Aortic Arch Reconstruction After Hybrid Bilateral Pulmonary Artery Banding and Ductal Stenting for Hypoplastic Left Heart Syndrome

Uygar Yörüker; Hakan Akintürk

doi:10.1053/j.pcsu.2017.11.007

Giessen Procedure as Comprehensive Stage II Palliation With Aortic Arch Reconstruction After Hybrid Bilateral Pulmonary Artery Banding and Ductal Stenting for Hypoplastic Left Heart Syndrome

Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2018 Mar:21:19-27. doi: 10.1053/j.pcsu.2017.11.007.

Authors

Uygar Yörüker¹, Hakan Akintürk²

Affiliations

¹ Department of Pediatric Cardiac Surgery, Pediatric Heart Center, Justus Liebig University, Giessen, Germany.
² Department of Pediatric Cardiac Surgery, Pediatric Heart Center, Justus Liebig University, Giessen, Germany.. Electronic address: hakan.akintuerk@chiru.med.uni-giessen.de.

PMID: 29425520
DOI: 10.1053/j.pcsu.2017.11.007

Abstract

This article reviews our experience using hybrid stage I palliation in the neonatal period and subsequently with comprehensive stage II palliation for hypoplastic left heart syndrome. Between June 1998 and April 2017, 154 patients with the diagnosis of hypoplastic left heart syndrome and variants underwent a hybrid stage I palliation (bilateral pulmonary artery banding and ductal stenting). One hundred thirty-nine patients could be further univentricularly palliated. One hundred twenty-one patients underwent a comprehensive stage II operation with an operative mortality of 6.6%. The hybrid procedure provides reproducible results with reduced in-hospital, interstage, and long-term mortality and lower rates of aortic arch reinterventions.

Keywords: Giessen hybrid palliation; comprehensive stage II palliation; hypoplastic left heart syndrome (HLHS).

Publication types

Review

MeSH terms

Aorta, Thoracic / surgery*
Humans
Hypoplastic Left Heart Syndrome / surgery*
Infant, Newborn
Norwood Procedures / methods*
Palliative Care / methods*
Pulmonary Artery / surgery*
Stents*