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Right ventricular aneurysm following modified Norwood-Sano operation for hypoplastic left heart syndrome

^a Rainbow Heart Center, Department of Pediatric Cardiothoracic Surgery, Rainbow Babies and Children's Hospital, Case Western Reserve School of Medicine, 11100 Euclid Avenue, Cleveland, OH, USA
^b Department of Pediatric Anesthesiology, Rainbow Babies and Children's Hospital, Case Western Reserve School of Medicine, Cleveland, OH, USA

*Corresponding author. Tel.: +1-216-844-3058; fax: +1-216-844-3517.

E-mail address: hani.hennein{at}case.edu (H.A. Henneina).

Hypoplastic left heart syndrome is a rare congenital heart defect characterized by underdevelopment of left-sided heart structures, including the aortic arch. The contemporary surgical management of this anomaly includes the Norwood procedure and provision of pulmonary blood flow by either a modified Blalock-Taussig shunt (MBTS) or a right ventricle-to-pulmonary artery (RV-PA) conduit, commonly referred to as the Sano shunt. We report on an unusual complication of the Sano shunt, that of a giant right ventricular pseudoaneurysm occurring at the shunt insertion site.

Key Words: Hypoplastic left heart; Sano shunt; Right ventricular aneurysm