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- Title
Ross-Konno and Endocardial Fibroelastosis Resection After Hybrid Stage I Palliation in Infancy: Successful Staged Left-Ventricular Rehabilitation and Conversion to Biventricular Circulation After Fetal Diagnosis of Aortic Stenosis.
- Authors
Moon-Grady, Anita J.; Moore, Phillip; Azakie, Anthony
- Abstract
We report a patient who presented during fetal life with severe aortic stenosis, left-ventricular dysfunction, and endocardial fibroelastosis (evolving hypoplastic left heart syndrome). Management involved in utero and postnatal balloon aortic valvuloplasty for partial relief of obstruction and early postnatal hybrid stage I palliation until recovery of left-ventricular systolic function had occurred. The infant subsequently had successful conversion to a biventricular circulation by combining resection of endocardial fibroelastosis with single-stage Ross-Konno, aortic arch reconstruction, hybrid takedown, and pulmonary artery reconstruction.
- Subjects
CASE studies; AORTIC stenosis; SURGICAL excision; PERCUTANEOUS balloon valvuloplasty; ENDOCARDIAL cushion defects in children; BLOOD circulation
- Publication
Pediatric Cardiology, 2011, Vol 32, Issue 2, p211
- ISSN
0172-0643
- Publication type
Report
- DOI
10.1007/s00246-010-9841-3