The management of hypoplastic left heart syndrome with a right aortic arch

Hybrid Norwood for Hypoplastic Left Heart Syndrome With Rare Aortic Arch Anatomy

We describe the hybrid Norwood as first-stage palliation for a patient with hypoplastic left heart syndrome, right aortic arch, right descending aorta, bilateral ductus arteriosus, and left innominate artery arising from the left ductus.

Norwood Procedure in a Patient With Hypoplastic Left Heart Syndrome, Right Aortic Arch, and Right Descending Aorta

We describe the surgical treatment of a patient with hypoplastic left heart syndrome and right aortic arch.

Norwood-I in a hypoplastic left heart variant and right aortic arch

Even though preoperative diagnostics have improved significantly, intraoperative surprises may still occur especially in the case of complex congenital heart disease. An instance of such a complex congenital heart disease is a hypoplastic left heart syndrome with a right-sided aortic arch. In this case report, we present 1 patient with such a complex and unexpected anatomy, as well as a possible way to overcome the obstacles.

Aortic atresia combined with right aortic arch

We present a case of an aortic atresia and a persistent right aortic arch with a retro-aortic brachiocephalic vein. A left neo-aortic arch was constructed using a reversed subclavian flap and a standard Norwood-type patch enlargement to provide systemic outflow. The intercarotid section of the aortic arch was hypoplastic. Therefore, we maintained the patency of the right arch, thus creating a vascular ring.