Hostname: page-component-7c8c6479df-7qhmt Total loading time: 0 Render date: 2024-03-29T13:19:18.259Z Has data issue: false hasContentIssue false

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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