Evidence map›Paper›PMID 37063378›Full record

ArticleEuropean heart journal. Case reports2023

Converting an infant with borderline left heart structures to biventricular circulation after an initial hybrid Norwood approach: a case report.

Pia Cassanello, Eicken Andreas, Von Stumm Maria, Georgiev Stanimir

Open access · goldAbstract readCase Reports
In one paragraph

Article in European heart journal. Case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Pia CassanelloDepartment of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technische Universität München, Lazarettstr. 36, 80636 Munich, Germany.ORCID https://orcid.org/0000-0001-7707-2385
Eicken AndreasDepartment of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technische Universität München, Lazarettstr. 36, 80636 Munich, Germany.
Von Stumm MariaDepartment of Pediatric Cardiac Surgery, German Heart Center Munich, Technische Universität München, Germany.
Georgiev StanimirDepartment of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technische Universität München, Lazarettstr. 36, 80636 Munich, Germany.ORCID https://orcid.org/0000-0002-6239-8160
Deutsches Herzzentrum München · DEHospital Sant Joan de Déu Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hybrid approach in hypoplastic left heart syndrome (HLHS) implies placement of bilateral pulmonary artery bands and ductal stenting. This approach serves as a less invasive surgical-interventional alternative to the Norwood procedure with reported equivalent survival. Potential benefits include deferrable surgical risks and in some borderline left ventricle patients, when combined with a restrictive inter-atrial communication, it offers a chance for biventricular circulation. Case summary: Term newborn with total anomalous pulmonary venous connection (TAPVC), hypoplastic left heart, small aortic arch, and atrial septal defect (ASD) who was multi-disciplinary deemed eligible for a hybrid palliation performed on day six of life after TAPVC surgical correction. Subsequently, percutaneous ductal stent implantation was performed (two Sinus Superflex-DS stents) on day 11 of life. Magnetic resonance imaging (MRI) showed a hypoplastic non-apex-forming left ventricle (LV) [left ventricular end-diastolic volume index (LVEDVI) 15 mL/m Discussion: Hybrid approach has proven as a safe alternative to the Norwood procedure for HLHS. This case illustrates the importance of multi-disciplinary care in high-risk two ventricular patients by means of LV rehabilitation. Further studies are needed to systematically define and understand the intricacies of potential candidates for staged biventricular repair initially managed with hybrid approach.

Indexed as

Biventricular circulationBorderline left ventricleCase reportHypoplastic left heart syndromeUniventricular circulation

Identifiers

PMID37063378
PMCPMC10098642
OpenAlexW4361211707

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.