Norwood procedure
Citation, DOI, disclosures and article data
Citation:
Tatco V, Knipe H, Deng F, et al. Norwood procedure. Reference article, Radiopaedia.org (Accessed on 08 Mar 2025) https://doi.org/10.53347/rID-52061
Permalink:
rID:
52061
Article created:
20 Mar 2017,
Vincent Tatco
Disclosures:
At the time the article was created Vincent Tatco had no recorded disclosures.
View Vincent Tatco's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Henry Knipe had no recorded disclosures.
View Henry Knipe's current disclosures
Revisions:
5 times, by
5 contributors -
see full revision history and disclosures
Synonyms:
- Norwood's procedure
The Norwood procedure is a palliative procedure that is the first of three stages in the surgical treatment of hypoplastic left heart syndrome.
Procedure
The procedure consists of three components:
- constructing a neo-aorta by side-to-side anastomosis of the main pulmonary artery and ascending aorta, such that the right ventricle supplies the systemic circulation
- creating a systemic-to-pulmonary shunt to provide some pulmonary blood flow
- in the classic Norwood procedure, a modified Blalock-Taussig shunt is placed
- in the Sano modification, a right ventricle-to-pulmonary artery conduit (Sano shunt) is used instead
- atrial septal resection
History and etymology
William Norwood and associates described the technique in 1980s 2,4.
References
- 1. Bardo DM, Frankel DG, Applegate KE, Murphy DJ, Saneto RP. Hypoplastic left heart syndrome. Radiographics : a review publication of the Radiological Society of North America, Inc. 21 (3): 705-17. doi:10.1148/radiographics.21.3.g01ma09705 - Pubmed
- 2. Gaca AM, Jaggers JJ, Dudley LT, Bisset GS. Repair of congenital heart disease: a primer-part 1. Radiology. 247 (3): 617-31. doi:10.1148/radiol.2473061909 - Pubmed
- 3. Edwards L, Morris KP, Siddiqui A, Harrington D, Barron D, Brawn W. Norwood procedure for hypoplastic left heart syndrome: BT shunt or RV-PA conduit?. Archives of disease in childhood. Fetal and neonatal edition. 92 (3): F210-4. doi:10.1136/adc.2006.094664 - Pubmed
- 4. Norwood WI. Hypoplastic left heart syndrome. The Annals of thoracic surgery. 52 (3): 688-95. Pubmed
Incoming Links
Related articles: Pathology: Vascular: Congenital heart disease
There is more than one way to present the variety of congenital heart diseases. Whichever way they are categorized, it is helpful to have a working understanding of normal and fetal circulation, as well as an understanding of the segmental approach to imaging in congenital heart disease.
-
congenital heart disease
- subtypes
- normal relationship between chambers and valves
- shunting
- stenosis
- atrioventricular valves
- outflow tract
- great vessels
- venous inflow
- hypoplasia
- anomalous valves
- abnormal relationship of chambers and valves
- atrioventricular abnormality
- when associated with a univentricular heart
- atrioventricular discordance
- great vessel connection abnormality
- atrioventricular abnormality
- congenital heart disease - chest x-ray approach
-
surgical repairs (mnemonic)
- arterial switch procedure
- Blalock-Taussig shunt
- double switch procedure
- Fontan procedure
- Glenn procedure
- Mustard repair
- Norwood procedure
- Pott shunt
- pulmonary artery banding
- Rastelli procedure
- Sano shunt
- Senning repair
- total repair of tetralogy of Fallot (TOF)
- unifocalisation procedure
- Waterston shunt
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