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

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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: 10.1016/j.athoracsur.2008.09.043 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

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 2009 87, e16-e17DOI: (10.1016/j.athoracsur.2008.09.043) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

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 2009 87, e16-e17DOI: (10.1016/j.athoracsur.2008.09.043) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

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 2009 87, e16-e17DOI: (10.1016/j.athoracsur.2008.09.043) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions