Hybrid palliation as a bridge to biventricular repair in critical aortic stenosis with coarctation

We describe a term neonate with critical AS and coarctation, severe left ventricular (LV) dysfunction with endocardial fibro-elastosis palliated with surgical valvotomy and hybrid as a bridge to early biventricular repair. Initial repair consisted of commissurotomy to create bicuspid morphology with placement of bilateral pulmonary artery bands and maintenance of ductal patency with prostaglandin. LV function improved over two weeks allowing for repeat surgical valvotomy and coarctation repair. Patient was discharged two weeks post-operatively with low normal LV function, mild aortic stenosis/regurgitation.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research