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The hybrid approach – current knowns and unknowns: the perspective of cardiology

Published online by Cambridge University Press:  13 December 2011

Jeremy M. Ringewald ,
Gary Stapleton  and
Elsa J. Suh
Jeremy M. Ringewald*
Affiliation:
Division of Pediatric Cardiology, The Congenital Heart Institute of Florida (CHIF), All Children's Hospital and St. Joseph's Children's Hospital of Tampa, Pediatric Cardiology Associates/Pediatrix Medical Group, Saint Petersburg and Tampa, Florida, United States of America
Gary Stapleton
Affiliation:
Division of Pediatric Cardiology, All Children's Hospital Heart Institute, Saint Petersburg, Florida, United States of America
Elsa J. Suh
Affiliation:
Division of Pediatric Cardiology, The Congenital Heart Institute of Florida (CHIF), All Children's Hospital and St. Joseph's Children's Hospital of Tampa, Pediatric Cardiology Associates/Pediatrix Medical Group, Saint Petersburg and Tampa, Florida, United States of America
*
Correspondence to: Dr J. M. Ringewald, MD, Pediatric Cardiology Associates, 3003 West Drive Martin Luther King Jr Boulevard, 3rd Floor MAB, Tampa, Florida 33607, United States of America. Tel: 8135548701; Fax: 8138700100, Secretary (Dawn) 7273463969; E-mail: tampakidhrtdoc@gmail.com
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Abstract

The hybrid approach to the treatment of patients with hypoplastic left heart syndrome most commonly includes transcatheter placement of a stent in the arterial duct and surgical placement of bands on the branch pulmonary arteries via median sternotomy. This manuscript will review the concept of hybrid palliation and discuss topics related to several time intervals: peri-procedural, post-procedural, interstage, and comprehensive stage 2.

Keywords

Congenital cardiac diseasehypoplastic left heart syndromehybrid procedurearterial duct stentingretrograde coarctationNorwoodComprehensive Stage 2single ventriclefunctionally univentricular heart
Type
Original Article
Information
Cardiology in the Young , Volume 21 , Issue S2: A Holistic Approach to Hypoplastic Left Heart Syndrome and other evolving challenges in Pediatric and Congenital Cardiac Disease , 13 December 2011 , pp. 47 - 52
Copyright
Copyright © Cambridge University Press 2011

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References

1.Norwood, WI, Kirklin, JK, Sanders, SP. Hypoplastic left heart syndrome: experience with palliative surgery. Am J Cardiol 1980; 45: 87–91.CrossRefGoogle ScholarPubMed
2.Bailey, LL, Nehlsen-Cannarella, SL, Doroshow, RW, et al. Cardiac allotransplantation in newborns as therapy for hypoplastic left heart syndrome. N Engl J Med 1986; 315: 949–951.CrossRefGoogle ScholarPubMed
3.Ruiz, CE, Gamra, H, Zhang, HP, Garcia, EJ, Boucek, MM. Brief report:stenting of the ductus arteriosus as a bridge to cardiac transplantation in infants with the hypoplastic left-heart syndrome. N Engl J Med 1993; 328: 1605–1608.Google Scholar
4.Akintuerk, H, Michel-Behnke, I, Valeske, K, et al. Stenting of the arterial duct and banding of the pulmonary arteries: basis for combined Norwood stage I and II repair in hypoplastic left heart. Circulation 2002; 105: 1099–1103.CrossRefGoogle Scholar
5.Michel-Behnke, I, Akintuerk, H, Marquardt, I, et al. Stenting of the ductus arteriosus and banding of the pulmonary arteries: basis for various surgical strategies in newborns with multiple left heart obstructive lesions. Heart 2003; 89: 645–650.CrossRefGoogle ScholarPubMed
6.Chan, KC, Mashburn, C, Boucek, MM. Initial transcatheter palliation of hypoplastic left heart syndrome. Catheter Cardiovasc Interv 2006; 68: 719–726.Google Scholar
7.Galantowicz, M, Cheatham, JP. Lessons learned from the development of a new hybrid strategy for the management of hypoplastic left heart syndrome. Pediatr Cardiol 2005; 26: 190–199.CrossRefGoogle ScholarPubMed
8.Akintuerk, H, Michel-Behnke, I, Valeske, K, et al. Hybrid transcatheter-surgical palliation: basis for univentricular or biventricular repair: the Giessen experience. Pediatr Cardiol 2007; 28: 79–87.CrossRefGoogle Scholar
9.Pizarro, C, Derby, CD, Baffa, JM, Murdison, KA, Radtke, WA. Improving the outcome of high-risk neonates with hypoplastic left heart syndrome: hybrid procedure or conventional surgical palliation? Eur J Cardiothorac Surg 2008; 33: 613–618.CrossRefGoogle ScholarPubMed
10.Galantowicz, M, Cheatham, JP, Phillips, A, et al. Hybrid approach for hypoplastic left heart syndrome: intermediate results after the learning curve. Ann Thorac Surg 2008; 85: 2063–2070.CrossRefGoogle ScholarPubMed
11.Wernovsky, G, Ghanayem, N, Ohye, RG, et al. Hypoplastic left heart syndrome: consensus and controversies in 2007. Cardiol Young 2007; 17 (2 Suppl): 75–86.Google Scholar
12.Brown, DW, Connor, JA, Pigula, FA, et al. Variation in preoperative and intraoperative care for first-stage palliation of single-ventricle heart disease: a report from the Joint Council on Congenital Heart Disease National Quality Improvement Collaborative. Congenit Heart Dis 2011; 6: 108–115.CrossRefGoogle ScholarPubMed
13.Chen, Q, Parry, A. The current role of hybrid procedures in the stage 1 palliation of patients with hypoplastic left heart syndrome. Eur J Cardiothorac Surg 2009; 36: 77–83.CrossRefGoogle ScholarPubMed
14.Pizarro, C, Murdison, KA, Derby, CD, Radtke, W. Stage II reconstruction after hybrid palliation for high-risk patients with a single ventricle. Ann Thorac Surg 2008; 85: 1382–1388.CrossRefGoogle ScholarPubMed
15.Venugopal, PS, Luna, KP, Anderson, DR, et al. Hybrid procedure as an alternative to surgical palliation of high-risk infants with hypoplastic left heart syndrome and its variants. J Thorac Cardiovasc Surg 2010; 139: 1211–1215.Google Scholar
16.Stoica, SC, Philips, AB, Egan, M, et al. The retrograde aortic arch in the hybrid approach to hypoplastic left heart syndrome. Ann Thorac Surg 2009; 88: 1939–1946.Google Scholar
17.Cua, CL, Galantowicz, ME, Turner, DR, et al. Palliation via hybrid procedure of a 1.4-kg patient with a hypoplastic left heart. Congenit Heart Dis 2007; 2: 191–193.CrossRefGoogle ScholarPubMed
18.Pilla, CB, Pedra, CA, Nogueira, AJ, et al. Hybrid management for hypoplastic left heart syndrome: an experience from Brazil. Pediatr Cardiol 2008; 29: 498–506.CrossRefGoogle ScholarPubMed