Norwood procedureNNorwood procedureNorwood procedureEnglishCardiologyChild (0-12 years);Teen (13-18 years)HeartCardiovascular systemProceduresAdult (19+)NA2009-12-11T05:00:00ZJennifer Russell, MD, FRCPC12.000000000000041.0000000000000239.000000000000Flat ContentHealth A-Z<p>The Norwood procedure is usually done as part of a series of surgeries to help the ventricle pump blood out to the body.</p><p>The palliative Norwood procedure is used for children with only one pumping chamber in their heart, for example in aortic atresia or hypoplastic left heart syndrome. </p><h2> Key points </h2> <ul><li>The Norwood is usually performed in a series of surgeries: the complete palliation involves the cavopulmonary anastomosis (Glenn procedure), or second stage, and the Fontan, or third stage.</li> <li>This procedure allows blood to be pumped more easily to the body and uses a shunt to ensure blood flows to the lungs.</li> <li>This is a complex operation that presents many risks.</li> <li>The heart is very fragile after this procedure.</li></ul>
Intervention de NorwoodIIntervention de NorwoodNorwood ProcedureFrenchCardiologyChild (0-12 years);Teen (13-18 years)HeartCardiovascular systemProceduresAdult (19+)NA2009-12-11T05:00:00ZJennifer Russell, MD, FRCPC12.000000000000041.0000000000000239.000000000000Flat ContentHealth A-ZL’intervention de Norwood est généralement réalisée dans le cadre d’une série d’interventions chirurgicales pour aider le ventricule à pomper du sang hors du corps.<p>On utilise l’intervention palliative de Norwood pour les enfants qui n’ont qu’un ventricule qui pompe dans le cœur, par exemple dans le cas d’une atrésie aortique ou d’une hypoplasie du cœur gauche. </p><h2> À retenir </h2> <ul><li> Cette opération est généralement réalisée dans le cadre d’une série d’interventions chirurgicales : la palliation complète implique l’anastomose cavo-pulmonaire (Glenn), soit la deuxième étape, et l’intervention de Fontan, soit la troisième étape.</li> <li>Cette chirurgie facilite le pompage du sang dans le corps et utilise une anastomose pour assurer la circulation du sang vers les poumons.</li> <li> Il s’agit d’une opération complexe qui comporte de nombreux risques.</li> <li> Le cœur est très fragile après cette intervention.</li></ul>

 

 

Norwood procedure1660.00000000000Norwood procedureNorwood procedureNEnglishCardiologyChild (0-12 years);Teen (13-18 years)HeartCardiovascular systemProceduresAdult (19+)NA2009-12-11T05:00:00ZJennifer Russell, MD, FRCPC12.000000000000041.0000000000000239.000000000000Flat ContentHealth A-Z<p>The Norwood procedure is usually done as part of a series of surgeries to help the ventricle pump blood out to the body.</p><p>The palliative Norwood procedure is used for children with only one pumping chamber in their heart, for example in aortic atresia or hypoplastic left heart syndrome. </p><h2> Key points </h2> <ul><li>The Norwood is usually performed in a series of surgeries: the complete palliation involves the cavopulmonary anastomosis (Glenn procedure), or second stage, and the Fontan, or third stage.</li> <li>This procedure allows blood to be pumped more easily to the body and uses a shunt to ensure blood flows to the lungs.</li> <li>This is a complex operation that presents many risks.</li> <li>The heart is very fragile after this procedure.</li></ul><p>The Norwood is usually done as part of a series of surgeries. It involves reconstructing the aorta using the pulmonary artery, to allow the ventricle to easily pump blood out to the body. It also involves placing a Blalock-Taussig shunt to maintain blood flow to the lungs. </p> <p>The risks involved with the Norwood procedure are high. This is a major and complex operation requiring expert care before, during, and after the operation. The teamwork among cardiology, cardiac surgery, anaesthesia, critical care, and all other supporting staff is crucial. Mortality can be as high as 20% even at the best centres, and the potential for complications is elevated with a prolonged hospital stay. </p> <p>After the initial Norwood operation, the heart is fragile and the flow of oxygen to the lungs is completely dependent on the BT shunt. The risks associated with the BT shunt include the potential for clots to develop in the shunt and these children are maintained on blood thinner medications to try and prevent this complication. </p> <p>The complete palliation involves two other procedures: the cavopulmonary anastomosis (Glenn procedure), or second stage, and the Fontan, or third stage. The long-term outcome of these combined procedures is not well known, since the oldest surviving individuals are only in their 30s. </p>Norwood procedureFalse

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