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Published Online First: 19 May 2009. doi:10.1136/hrt.2009.166561
Heart 2009;95:1211-1213
Copyright © 2009 BMJ Publishing Group Ltd & British Cardiovascular Society

Editorials

Life after the Norwood procedure

Ulrike E Salzer-Muhar

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 . . . [Full text of this article]


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Left ventricular morphology influences mortality after the Norwood operation
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Heart 2009 95: 1238-1244. [Abstract] [Full Text] [PDF]

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