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Hybridizing the hybrid: a “serendipitous bridge” to heart transplantation in a child with hypoplastic left heart syndrome

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Abstract

We report a unique experience with stage 1 palliation of hypoplastic left heart syndrome (HLHS) using the hybrid approach. The tortuous anatomy of the ductus arteriosus precluded stenting. Persistent ductal patency and ability to support the systemic circulation adequately after prolonged prostaglandin E1 (PGE1) infusion and its subsequent discontinuation presented us with a novel approach to hybrid palliation of hypoplastic left heart syndrome. Our experience offers a tempting approach, but it should not be considered a standard alternative management option to stage I hybrid palliation based on a single case report.

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Authors and Affiliations

  1. Division of Pediatric Cardiovascular and Thoracic Surgery, BC Children’s Hospital, 4480 Oak St, Suite AB307, Vancouver, British Columbia, V6H 3V4, Canada

    Sanjog Rawtani, Misty Reis & Sanjiv K. Gandhi

Authors
  1. Sanjog Rawtani
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  2. Misty Reis
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  3. Sanjiv K. Gandhi
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Correspondence to Sanjog Rawtani.

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Consent was taken from the parents of the patient to publish this case report.

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Supplementary information

Cardiac catheterization showing a large PDA which could not be stented (MOV 14924 kb)

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Uniqueness of case report (MOV 18659 kb)

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Rawtani, S., Reis, M. & Gandhi, S.K. Hybridizing the hybrid: a “serendipitous bridge” to heart transplantation in a child with hypoplastic left heart syndrome. Indian J Thorac Cardiovasc Surg 37, 345–347 (2021). https://doi.org/10.1007/s12055-020-01088-8

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  • DOI: https://doi.org/10.1007/s12055-020-01088-8

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