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The first successful Norwood procedure involving the use of a cardiopulmonary bypass was reported by Dr. William Imon Norwood, Jr. and colleagues in 1981. [2] [3] Variations of the Norwood procedure, or Stage 1 palliation, have been proposed and adopted over the last 30 years; however, its basic components have remained unchanged.
A Sano shunt is a shunt from the right ventricle to the pulmonary circulation. [1] [2] [3]In contrast to a Blalock–Taussig shunt, circulation is primarily in systole. [citation needed]
Following the bidirectional Glenn shunt, failure of the procedure can be broadly categorized as failure of procedure, cardiac dysfunction related to surgery, or cardiac dysfunction leading to death before further surgical intervention. [8] Retrospective reviews demonstrate failure of the procedure in 6.5% of patients.
The uses of palliative surgery can range from extensive debulking operations to less complex operations. [ 1 ] The main purposes of palliative surgery are: evaluation of the extent of the disease, control of locoregional spread, control of a fungating tumour, discharge or haemorrhage, control of pain, surgical reconstruction or rehabilitation ...
The Mayo Clinic Cancer Center is one of the oldest NCI-designated cancer centers in the United States, having first been designated in 1973. [3] The main location of the Mayo Clinic is in Rochester, MN. Campuses in Arizona and Florida opened later and became part of the Mayo Clinic Cancer Center in 2003. [4] [5]
Currently, infants undergo either the staged reconstructive surgery (Norwood or Sano procedure within a few days of birth, Glenn or Hemi-Fontan procedure at 3 to 6 months of age, and the Fontan procedure at 1 1/2 to 5 years of age) or cardiac transplantation. [10] Current expectations are that 70% of those with HLHS may reach adulthood. [18]
William Imon Norwood Jr., also Bill Norwood (April 21, 1941 – December 13, 2020), was an American pediatric cardiac surgeon and physician. He was known for the Norwood procedure , a pioneering cardiac operation named after him for children born with Hypoplastic left heart syndrome .
John Webster Kirklin (April 5, 1917 – April 21, 2004) was an American cardiothoracic surgeon, general surgeon, prolific author and medical educator who is best remembered for refining John Gibbon's heart–lung bypass machine via a pump-oxygenator to make feasible under direct vision, routine open-heart surgery and repairs of some congenital heart defects.