| Summary: | The prognosis of Hypo plastic left heart syndrome is bad and the results remain suboptimal for the traditional staged repair of these patients.
Utilizing surgical and transcatheter techniques, a hybrid strategy was developed to achieve the Fontan circulation.
Method: Total of 18 newborns underwent hybrid stage I for hypoplastic left heart syndrome (HLHS) between May 2006 and Feb 2010, 2 patients with Columbus approach and the remaining with Giessen approach , clinical and echocardiography were done Pre and post procedure and in the Interstage period , 9 patients achieved hybrid stage II which is comprehensive surgical stage with close follow up.
Result: The mean age of patients underwent hybrid stage I is 11 days, mean weight is 3.1 kg, median hospital stay is 4 days, and median ventilatory support is 4 days. Mortality is 20%.
9 patients achieved hybrid stage II, mean age is 7.9 mos, mean weight is 6.7 kg, median ventilatory support is 5 days, and median hospital stay is 11 days. 2 patients Complicated with LPA occlusion needing intervention. One death (11.1%). 2 patient has stage III, 6 patients are pending the stage III.
Conclusion: Though small number and short experience, the result of hybrid approach is good and comparable to other center and it can achieve acceptable short term outcomes in patient with HLHS.
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