Bailout shunt/banding for backward left heart failure after adequate neonatal coarctectomy in borderline left hearts

CONCLUSIONS Reversed surgical shunt with bilateral banding of the branch pulmonary arteries after neonatal coarctectomy can be successfully employed as a bailout procedure in cases where a borderline left heart with growth potential cannot tolerate a biventricular circulation. It may act as an acute life-saving measure as well as a bridge to later repair. If high risk for backward failure exists in a borderline left heart with catch-up growth potential, a primary hybrid procedure is probably a more elegant and predictable strategy.

http://icvts.oxfordjournals.org/cgi/content/short/23/6/929?rss=1

Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Brown, S. C., Eyskens, B., Boshoff, D., Cools, B., Heying, R., Rega, F., Meyns, B., Gewillig, M. Tags: Minimally invasive surgery Congenital Source Type: research