PT  - JOURNAL ARTICLE
AU  - Carl C. Gill
AU  - Douglas S. Moodie
AU  - Richard Sterba
TI  - Hypoplastic left heart syndrome: medical management and practical surgical palliation
DP  - 1983 Sep 21
TA  - Cleveland Clinic Journal of Medicine
PG  - 269--274
VI  - 50
IP  - 3
4099  - http://www.ccjm.org/content/50/3/269.short
4100  - http://www.ccjm.org/content/50/3/269.full
SO  - Cleve Clin J Med1983 Sep 21; 50
AB  - A new surgical procedure has allowed successful palliation of hypoplastic left heart syndrome in 2 full-term infants. This procedure establishes continuity between the proximal pulmonary artery and the descending aorta. Pulmonary flow is controlled by an aortopulmonary shunt to the isolated confluence of the pulmonary arteries. The technique obviates the need for manipulation of the diminutive ascending aorta and, in addition, corrects coarctation of the aorta which is present in 70% of patients with hypoplastic left heart syndrome. The wide availability of prostaglandin E1 offers a means of medical resuscitation for these moribund infants and makes surgical palliation a viable option for many infants whose condition had previously been considered hopeless.