Heart 2009;95:1211-1213
Editorials
Life after the Norwood procedure
Professor U Salzer-Muhar, Medical University of Vienna, Department of Paediatrics and Adolescent Medicine, Division of Paediatric Cardiology, Waehringer Guertel 18-20, A-1090 Vienna, Austria; Ulrike.Salzer@meduniwien.ac.at
| The first 150 words of the full text of this article appear below. |
Life after the Norwood procedure (fig 1) starts when the baby is successfully weaned from cardiopulmonary bypass and, after a well-orchestrated transfer, arrives safely in the cardiac intensive care unit.1 At this time, the surgeon will usually inform the parents of the successful outcome of the operation.
Of course, life also existed before the Norwood procedure. The diagnosis of hypoplastic left heart syndrome (HLHS) would have been most likely made prenatally, probably during the early second trimester of pregnancy. This is true nowadays for the majority of patients in industrialised countries. Thus, the baby with HLHS would have caused considerable decision-making. The first decision to accept a child with HLHS would have been made by the parents after having received the diagnosis, being counselled and being given what is commonly known as informed choice concerning the termination of pregnancy.2 The next decision would have been made by the prenatal team
Relevant Article
- Left ventricular morphology influences mortality after the Norwood operation
- M A Walsh, B W McCrindle, A Dipchand, C Manlhiot, E Hickey, C A Caldarone, G S Van Arsdell, and S M Schwartz
Heart 2009 95: 1238-1244.[Abstract] [Full Text] [PDF]
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
