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Published on May 16, 2008
Interactive CardioVascular and Thoracic Surgery 2008, doi:10.1510/icvts.2007.171777
© 2008 European Association of Cardio-Thoracic Surgery

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Congenital

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

Mohsen Karimi 1, Ahmed Farouk 1, John Stork 1, Hani A. Hennein 1*

1 Case Western Reserve School of Medicine, Cleveland, OH, USA

* To whom correspondence should be addressed. E-mail: hah11{at}case.edu.


   Abstract
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. Keywords: Hypoplastic left heart; Sano shunt; Right venticular aneurysm





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