Key result
Hybrid procedure with pulmonary banding, ductal stenting, and septostomy successfully palliates 1.4-kg HLHS patient.
Why the study?
Certain risk factors, such as weight less than 2.5 kg, continue to predict increased mortality in patients with hypoplastic left heart syndrome despite improvements in survival with various palliative procedures.
Does a hybrid procedure provide effective palliation in a 1.4-kg patient with hypoplastic left heart syndrome?
Case Report (n=1)
Does a hybrid procedure provide effective palliation in a 1.4-kg patient with hypoplastic left heart syndrome?
A hybrid procedure may be a viable alternative for palliation in very low birth weight (1.4 kg) infants with hypoplastic left heart syndrome.
May support hybrid palliation in 1.4-kg HLHS neonates; hypothesis-generating and requires prospective validation.
Despite improvements in survival of patients with hypoplastic left heart syndrome (HLHS) with various palliative procedures, certain risk factors, such as weight less than 2.5 kg, continue to predict increased mortality. We report the palliation of a patient with HLHS weighing 1.4 kg via a hybrid procedure consisting of banding of the pulmonary arteries bilaterally, stenting the ductus arteriosus, and balloon atrial septostomy. We propose that this may be another alternative for palliation in this high-risk patient group.
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Clifford et al. (2007) conducted a case report in Hypoplastic left heart syndrome (HLHS) (n=1). Hybrid procedure (bilateral pulmonary artery banding, ductus arteriosus stenting, and balloon atrial septostomy) was evaluated. A hybrid procedure consisting of bilateral pulmonary artery banding, ductus arteriosus stenting, and balloon atrial septostomy was successfully used for palliation in a 1.4-kg patient with HLHS.
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