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Recoarctation After Norwood I Procedure for Hypoplastic Left Heart Syndrome: Impact of Patch Material

Saturday, January 28, 2017

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Source Name: Annals of Thoracic Surgery


Keti Vitanova, Julie Cleuziou, Jelena Pabst von Ohain, Melchior Burri, Andreas Eicken, Rüdiger Lange

The authors assessed the influence of patch material type on the incidence of recoarctation in infants undergoing Norwood I repair for hypoplastic left heart syndrome.  Among 145 patients, recoarctation developed in 18% at a median of 4.3 months.  At 2 years, freedom from recoarctation was about 85% for homograft and autologous pericardium, whereas it was 30% for equine pericardium; use of the latter was the only risk factor for recoarctation in multivariable analysis.

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