Norwood procedure
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The Norwood procedure is a palliative surgical procedure performedthat is the first of three stages in casesthe surgical treatment of hypoplastic left heart syndrome.
The procedure consists of three components:
- constructing a neo-aorta by side-to-side anastomosis of the main pulmonary artery and ascending aorta
. A, 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
to provide -
in the
pulmonary blood flow.Sanomodified the procedure by creatingmodification, a right ventricle-to-pulmonary artery conduit (Sano shunt) is used insteadof a modified Blalock-Taussig shunt.
-
in the classic Norwood procedure, a modified Blalock-Taussig shunt is placed
- atrial septal resection
History and etymology
William Norwood and associates described the technique in 1980s 2,4.
-<![endif]--><!--StartFragment-->The <strong>Norwood procedure</strong> is a palliative surgical procedure performed in cases of <a href="/articles/hypoplastic-left-heart-syndrome">hypoplastic left heart syndrome</a>.</p><p>The procedure consists of constructing a neo-aorta by side-to-side anastomosis of the main pulmonary artery and ascending aorta. A modified <a href="/articles/blalock-taussig-shunt-2">Blalock-Taussig shunt</a> is placed to provide the pulmonary blood flow. Sano modified the procedure by creating a right ventricle-to-pulmonary artery conduit (<a href="/articles/sano-shunt">Sano shunt</a>) instead of a modified Blalock-Taussig shunt.</p><h4>History and etymology</h4><p><strong>William Norwood</strong> and associates described the technique in 1980s <sup>2,4</sup>.</p><p><!--EndFragment--></p>- +<![endif]--><!--StartFragment-->The <strong>Norwood procedure</strong> is a palliative procedure that is the first of three stages in the surgical treatment of <a href="/articles/hypoplastic-left-heart-syndrome">hypoplastic left heart syndrome</a>.</p><p>The procedure consists of three components:</p><ul>
- +<li>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</li>
- +<li>creating a systemic-to-pulmonary shunt to provide some pulmonary blood flow<ul>
- +<li>in the classic Norwood procedure, a modified <a href="/articles/blalock-taussig-shunt-2">Blalock-Taussig shunt</a> is placed</li>
- +<li>in the Sano modification, a right ventricle-to-pulmonary artery conduit (<a href="/articles/sano-shunt">Sano shunt</a>) is used instead</li>
- +</ul>
- +</li>
- +<li>atrial septal resection</li>
- +</ul><h4>History and etymology</h4><p><strong>William Norwood</strong> and associates described the technique in 1980s <sup>2,4</sup>.</p><p><!--EndFragment--></p>
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