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Colleen B. Gaughan, MD, Dao Nguyen, MD, Marco Ricci, MD 

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Presentation on theme: "Colleen B. Gaughan, MD, Dao Nguyen, MD, Marco Ricci, MD "— Presentation transcript:

1 Neonatal Bronchial Reconstruction After Norwood Procedure for Hypoplastic Left Heart Syndrome 
Colleen B. Gaughan, MD, Dao Nguyen, MD, Marco Ricci, MD  The Annals of Thoracic Surgery  Volume 87, Issue 3, Pages e16-e17 (March 2009) DOI: /j.athoracsur Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A, B) Preoperative chest computed tomography angiography shows multiple mediastinal abscesses (white arrows) causing compression of the left main stem bronchus. The Annals of Thoracic Surgery  , e16-e17DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Schematic illustration of the operation conducted through a left thoracotomy shows the reconstructed aortic arch (Ao), the previous right ventricle-to-pulmonary artery (RV-PA) conduit used for the Norwood procedure, and the intercostal muscle flap pedicle. The arrow indicates the left bronchus with a large area denuded and injured. The intercostal muscle flap was used to cover the defect and reconstruct the cartilaginous portion of the left bronchus. The Annals of Thoracic Surgery  , e16-e17DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A, B) A postoperative chest computed tomography angiography shows resolution of the mediastinal abscesses and adequate left bronchial repair. The Annals of Thoracic Surgery  , e16-e17DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

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