Abstract
The developed methods of correction of a syndrome (or a complex) hypoplasia of the left heart, some difficult congenital heart
diseases with similar hemodynamic assume long multi-stage reconstruction. The first stage of reconstruction assumes
Norwood's operation in various modifications in the conditions of artificial blood circulation or hybrid procedure of narrowing
of branches of a pulmonary artery and stenting of an arterial duct. The presented review of literature cover current trends
in carrying out hybrid procedure in aspect of clinical application and development of protocols of treatment. Articles of
2010–2013, and also the main basic works on this problem are analysed, that allowed to study experience and approaches of
various clinics of the global community to definition of basic strategy of treatment of this group of patients: to preparation for
surgical treatment, indications and contra-indications, technical aspects of procedure, anesthesia, possible complications and
their treatment, and also developmental care and pediatric problems taking into account formation of individual programs.
References
1. Stumper O. Hypoplastic left heart syndrome. Postgrad. Med. J. 2010; 86: 183–8. DOI:10.1136/hrt.2008.159889.
2. Galantowicz M., Cheatham J.P., Phillips A., Cua C.L., Hoffman T.M., Hill Sh.L. et al. Hybrid approach for hypoplastic left heart syndrome: intermediate results after the
learning curve. Ann. Thorac. Surg. 2008; 85: 2063–71.
3. Заргинава Г. Хирургическая анатомия синдрома гипоплазии левого сердца в аспекте его хирургической коррекции. Детские болезни сердца и сосудов. 2006;
1: 27–39.
4. Бокерия Л.А., Алекян Б.Г., Беришвили Д.О.,Пурсанов М.Г., Гуляев Ю.В., Мумладзе К.В.и др. Гибридные паллиативные операции у новорожденных с синдромом
гипоплазии левых отделов сердца. Оригинальный хирургический подход. Детские болезни сердца и сосудов. 2009; 3: 54–8.
5. Hirota M. (ed.) Aortic stenosis – etiology, pathophysiology and treatment. DOI: 10.5772/24356.
6. Emani S.M., Bacha E.A., McElhinney D.B., Marx G.R., Tworetzky W., Pigula F.A. et al. Primary left ventriсular rehabilitation is effective in maintaining two-ventricle physiology
in the borderline left heart. J. Thorac. Cardiovasc. Surg. 2009; 138 (6): 1276–82. DOI:10.1016/j.jtcvs.2009.08.009.
7. Hammel J.M., Duncan K.F., Danford D.A., Kutty Sh. Two-stage biventricular rehabilitation for critical aortic stenosis with severe left ventricular dysfunction. Eur. J.
Cardiothorac. Surg. 2012; 1–6: DOI:10.1093/ejcts/ezs197.
8. Corno A.F. Borderline left ventricle. Eur. J. Cardiothorac. Surg. 2005; 27 (1): 67–73.DOI: 10.1016/j.ejcts.2004.10.034.
9. Grosse-Wortmann L., Yun Tae-Jin, Al-Radi O. et al. Borderline hypoplasia of the left ventricle in neonates: Insights for decision-making from functional assessment with
magnetic resonance imaging. J. Thorac. Cardiovasc. Surg. 2008; 136 (6): 1429–36. DOI:10.1016/j.jtcvs.2008.04.027.
10. Hraška V., Schneider M. Critical aortic stenosis with severe left ventricular dysfunction. Eur. J. Cardiothorac. Surg. 2012; 1: 2. Editorial comment.
DOI:10.1093/ejcts/ezs236.
11. Brown S.C., Boshoff D., Eyskens B., Gewillig M. Hybrid approach as bridge to biventricular repair in a neonate with critical aortic stenosis and borderline left ventricle. Eur.
J. Cardiothorac. Surg. 2009; 35:1080–2. DOI:10.1016/j.ejcts.2009.02.012.
12. Davis C.K., Pastuszko P., Lamberti J., Moore J., Hanley F., El Said H. The hybrid procedure for the borderline left ventricle. Cardiol. Young. 2011; 21: 26–30.
13. Colan S.D., McElhinney D.B., Crawford E.C, Keane J.F., Lock J.E. Validation and re-evaluation of a discriminant model predicting anatomic suitability for biventricular
repair in neonates with aortic stenosis. Am. Coll. Cardiol. 2006; 47: 1858–65. DOI:10.1016/j.jacc.2006.02.020.
14. Brown J.W., Ruzmetov M., Vijay P., Rodefeld M.D., Turrentine M.W. Closed transventricular aortic valvotomy for critical aortic stenosis in neonates: outcomes, risk factors,
and reoperations. Ann. Thorac. Surg. 2006; 81: 236–42.
15. Alsoufi B., Bennetts J., Verma S., Caldarone Ch. A new developments in the treatment of hypoplastic left heart syndrome. Pediatrics. 2007; 119: 109. DOI:
10.1542/peds.2006-1592.
16. Photiadis J., Sinzobahamvya N, Hraška V., Asfour B. Does bilateral pulmonary banding in comparison to Norwood procedure improve outcome in neonates with hypoplastic
left heart syndrome beyond second-stage palliation? A review of the current literature. Thorac. Cardiovasc. Surg. 2012; 60 (3): 181–8. DOI: 10.1055/s-0031-1295569.
17. Bacha E.A., Daves S., Hardin J. et al. Single-ventricle palliation for high-risk neonates: The emergence of an alternative hybrid stage I strategy. Thorac. Cardiovasc. Surg.
2006; 131: 163–71. DOI:10.1016/j.jtcvs.2005.07.053.
18. Sasaki T., Takahashi Y., Ando M., Wada N., Kawase Y., Seki H. Bilateral pulmonary artery banding for hypoplastic left heart syndrome and related anomalies. Gen. Thorac.
Cardiovasc. Surg. 2008; 56: 158–162. DOI 10.1007/s11748-007-0207-6.