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May 7, 2026

Multi-Center Comparison of Hybrid and Norwood Procedure in Patients with Fontan Circulation.

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Authors

KKKei KobayashiUniversity of PittsburghMSMary SchiffChildren's Hospital of PittsburghLSLaura SeeseChildren's Hospital of Pittsburgh

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Implication

Multicenter analysis compares hybrid procedure outcomes with Norwood operation in Fontan patients, suggesting similar risks.

Key Points

  • To compare hybrid stage 1 procedure and Norwood operation outcomes in Fontan circulation patients.
  • Utilized the Fontan Outcomes Registry to analyze patient outcomes for HS1P and Norwood
  • Performed propensity score matching for accurate comparisons
  • Analyzed composite outcomes and cardiac magnetic resonance variables.
  • 228 patients analyzed, showing similar freedom from composite outcomes between HS1P and Norwood
  • CMR findings did not differ significantly between the groups
  • Long-term outcomes were comparable for both procedures.

Cite This Study

Kobayashi et al. (2026) studied this question.

synapsesocial.com/papers/69fbefc0164b5133a91a3b11https://doi.org/10.1016/j.jtcvs.2026.04.005
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Ventricular function and vascular dimensions after Norwood and hybrid palliation of hypoplastic left heart syndrome2017 · 28 citations
  2. 2High-Performing Fontan Patients2024 · 20 citations
  3. 3Improving the outcome of high-risk neonates with hypoplastic left heart syndrome: hybrid procedure or conventional surgical palliation?☆2008 · 97 citations