Rapid bilateral pulmonary artery banding: A developmentally based proposal for the management of neonates with hypoplastic left heart

“We cannot solve our problems with the same thinking we used when we created them.”–Albert Einstein“For things to reveal themselves to us, we need to be ready to abandon our views about them.”–Thich Nhat HahnCentral MessageRapid bPAB within 48 hours of birth will mitigate the reduction of systemic oxygen delivery due to circulatory maldistribution that occurs immediately during the transitional circulation in HLHS. Rapid bPAB within 48 hours of birth will mitigate the reduction of systemic oxygen delivery due to circulatory maldistribution that occurs immediately during the transitional circulation in HLHS. Since the description of hypoplastic left heart syndrome (HLHS) by Noonan and Nadas in 1958, and the seminal publication of surgical intervention by Norwood, Lang, and Hansen in 1982,1Norwood W.I. Lang P. Hansen D.D. 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H. et bilateral pulmonary artery banding stage Norwood a viable Thorac Cardiovasc Surg. 2014; Full Text Full Text PDF PubMed Google Scholar and after the deferred Norwood with a Norwood during the neonatal Finally, to the hybrid approach deferred Norwood approach be are The be on experience approach at and there are a of to be in the Norwood by a in a surgical in to the be the cerebral and be on with aortic there are the from and Norwood will be the consequences of to 6 in of are be that an to the same we be the use of approach the Norwood to be a the of the on and need to be need and of and and after the Norwood procedure on a population are The current and long-term results of surgical intervention for although in the and better with to and long-term survival and of for patients and their the we about the circulation in the consequences of the transitional and the at we that our of bPAB within 48 hours and a Norwood procedure are the in the management of HLHS.