Results of Modified Norwood’s Operation for Hypoplastic Left Heart Syndrome, Chulalongkorn Experience

  • Dr Vichai Benjacholamas, Cardiothoracic Unit, Department of Surgery, King Chulalongkorn Memorial Hospital., Thailand
  • Dr Apichai Khongphatthanayothin, Cardiac Unit, Department of Pediatrics, King Chulalongkorn Memorial Hospital., Thailand
  • Dr Pornthep Lertsapcharoen, Cardiac Unit, Department of Pediatrics, King Chulalongkorn Memorial Hospital., Thailand

    • Objective: The first-stage palliation for hypoplastic left heart syndrome was analyzed.
    Methods: Between August 1996 and November 2008, Modified Norwood’s operation with right modified Blalock-Taussig shunt was performed in 26 patients with hypoplastic left heart syndrome. All of them were operated on by modified Norwood’s procedure using homograft for arch reconstruction (group 2) except the first four patients that using only autologous great vessel tissue (group 1).
    Results: Overall hospital mortality was 23.07%. Hospital mortality in group 1 and group 2 were 50 % and 18.18%, respectively. There were four of twenty survivors who reached Fontan type operation (20 %).
    Conclusions: Only a limited number of pediatric cardiac centers in our region could offer surgical treatment of hypoplastic left heart syndrome. The survival rate in our study was in ecceptable range despite limited resource.