Commentary: Norwoodized Hybrid from Necker

The mortality associated with the Hypoplastic Left Heart Syndrome (HLHS) remains the highest among all congenital heart defects. One-year transplant-free survival for the conventional surgical palliation, the Norwood procedure, stagnates at around 70%1. The Hybrid palliation, offers a less invasive approach with bilateral pulmonary artery banding with/out subsequent stenting of the PDA, omitting the use of cardiopulmonary bypass (CPB) in the neonatal period. Although reserved for high-risk patients with multiple risk factors who are not deemed to undergo the Norwood procedure in most centers, the Hybrid approach yields excellent outcomes in dedicated centers for allcomers2.
Source: Operative Techniques in Cardiac and Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Congenital - Commentary Source Type: research