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Formation of thrombus in a native aortic sinus of Valsalva after palliation of hypoplastic left heart syndrome

Published online by Cambridge University Press:  11 April 2007

Joydeep Mookerjee
Affiliation:
Department of Congenital Heart Disease, Evelina Children's Hospital, Guy's & St Thomas' NHS Trust, London, United Kingdom
Eric Rosenthal
Affiliation:
Department of Congenital Heart Disease, Evelina Children's Hospital, Guy's & St Thomas' NHS Trust, London, United Kingdom
John M. Simpson
Affiliation:
Department of Congenital Heart Disease, Evelina Children's Hospital, Guy's & St Thomas' NHS Trust, London, United Kingdom

Abstract

An eight-month-old girl with hypoplastic left heart syndrome, who underwent a modified Norwood operation at the age of two days, and a Hemifontan operation at five months of age, had severely impaired ventricular function and new electrocardiographic changes. Coronary angiography demonstrated a small adherent thrombus in the non-coronary sinus of Valsalva of the native aortic root, which may be the cause of unexplained ventricular dysfunction.

Type
Brief Report
Copyright
© 2007 Cambridge University Press

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References

McGuirk SP, Griselli M, Stumper O, et al. Staged surgical management of hypoplastic left heart syndrome: a single institution 12 year experience. Heart 2006; 2: 364370.Google Scholar
Gibbs JL, Monro JL, Cunningham D, Rickards A. Survival after surgery or therapeutic catheterisation for congenital heart disease in children in the United Kingdom: analysis of the central cardiac audit database for 2000–1. BMJ 2004; 328: 611.Google Scholar
Pearl JM, Nelson DP, Scwartz SM, Manning PB. First stage palliation for hypoplastic left heart syndrome in the twenty first century. Ann Thorac Surg 2002; 73: 331339.Google Scholar
Azakie T, Merklinger SL, McCrindle BW, et al. Evolving stategies and improving outcomes of the modified Norwood procedure: a 10 year single-institution experience. Ann Thorac Surg 2001; 72: 13491353.Google Scholar
Andrews R, Tulloh R, Sharland G, et al. Outcome of staged reconstructive surgery for hypoplastic left heart syndrome following antenatal diagnosis. Arch Dis Child 2001; 85: 474477.Google Scholar
Mahle WT, Spray TL, Gaynor WG, Clark BJ. Unexpected death after reconstructive surgery for hypoplastic left heart syndrome. Ann Thorac Surg 2001; 71: 6165.Google Scholar
Brennan T, Rodefeld M, Tacy T, Reddy M, Hanley F. Late thrombosis of the native aortic root after Norwood reconstruction for hypoplastic left heart syndrome. J Thorac Cardiovasc Surg 2001; 121: 580582.Google Scholar
Owens ST, Gomez-Fifer C, Ensing GJ. Thrombus formation in the native aortic root in patients with hypoplastic left heart syndrome. Pediatr Cardiol 2006; 27: 385387.Google Scholar
Bartram U, Grunenfelder J, Van Praagh R. Causes of death after modified Norwood procedure: a study of 122 postmortem cases. Ann Thorac Surg 1997; 64: 17951802.Google Scholar
Cua CL, Thiagarajan RR, Taeed R, et al. Improved interstage mortality with the modified Norwood procedure: a meta-analysis. Ann Thorac Surg 2005; 80: 4449.Google Scholar