Modified Norwood stage I operation: Possible operative technique for hypoplastic left heart syndrome

In recent years no congenital heart malformation has undergone a more dramatic change with respect to prenatal and perinatal diagnostics, perioperative management, particularly the surgical technique as well as short and long-term outcomes than hypoplastic left heart syndrome (HLHS). In the past survival of affected children up to the age of 5 years (including Norwood stage III operations) varied from 50% to 65%. Current expectations are that 80% of neonates born with HLHS will reach adulthood. Although the classical 3‑stage palliation for treatment of HLHS is established, there are nevertheless significant differences between the centers with respect to the surgical approach. In this article a possible operative technique (Norwood stage I operation) for palliation of HLHS is presented. © 2018, Springer Medizin Verlag GmbH, ein Teil von Springer Nature.