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Temporary bronchial stenting for airway compression in the interstage palliation of functional single ventricle


1 Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN, USA
2 Divsion of Pediatric Pulmonology; Mayo Clinic Children's Center, Mayo Clinic, Rochester, MN, USA
3 Department of Otorhinolaryngology; Mayo Clinic Children's Center, Mayo Clinic, Rochester, MN, USA
4 Department of Cardiovascular Surgery, Mayo Clinic, MN, USA
5 Mayo Clinic Children's Center, Mayo Clinic, Rochester; Department of Pediatric and Adolescent Medicine, Divisions of Pediatric Critical Care Medicine and Pediatric Cardiology, Mayo Clinic, MN, USA

Correspondence Address:
Dr. Jason Hawes Barnes
Barnes, Department of Otorhinolaryngology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_94_18

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Year : 2019  |  Volume : 12  |  Issue : 3  |  Page : 308-311

 

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The Norwood procedure is the first of three palliative surgical procedures offered for hypoplastic left heart syndrome (HLHS). Due to the small size of the thorax and proximity of airway and vascular structures, compression of the airway is possible following the Norwood procedure. We describe the management of an infant with HLHS following Stage I surgical palliation who developed refractory respiratory failure secondary to severe left bronchial compression.






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1 Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN, USA
2 Divsion of Pediatric Pulmonology; Mayo Clinic Children's Center, Mayo Clinic, Rochester, MN, USA
3 Department of Otorhinolaryngology; Mayo Clinic Children's Center, Mayo Clinic, Rochester, MN, USA
4 Department of Cardiovascular Surgery, Mayo Clinic, MN, USA
5 Mayo Clinic Children's Center, Mayo Clinic, Rochester; Department of Pediatric and Adolescent Medicine, Divisions of Pediatric Critical Care Medicine and Pediatric Cardiology, Mayo Clinic, MN, USA

Correspondence Address:
Dr. Jason Hawes Barnes
Barnes, Department of Otorhinolaryngology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_94_18

Rights and Permissions

The Norwood procedure is the first of three palliative surgical procedures offered for hypoplastic left heart syndrome (HLHS). Due to the small size of the thorax and proximity of airway and vascular structures, compression of the airway is possible following the Norwood procedure. We describe the management of an infant with HLHS following Stage I surgical palliation who developed refractory respiratory failure secondary to severe left bronchial compression.






[FULL TEXT] [PDF]*


        
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