{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T17:21:16Z","timestamp":1790788876131,"version":"4.1.0"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,10,18]],"date-time":"2021-10-18T00:00:00Z","timestamp":1634515200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,1,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>\u2002<\/jats:title>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>The aortic arch enlargement in the Norwood procedure is classically carried out using a curved homograft patch on the inner curvature of the neoaortic arch. The study investigates the outcome of a newly used artificial patch from a vascular prosthesis as an alternative to a homograft patch.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Since April 2007, we used curved polytetrafluorethylene (PTFE) patches cut out of a prosthesis as an alternative to homograft patches for the aortic arch reconstruction. The decision for either patch material was made due to anatomic reasons, preferring PTFE patches in larger aortas. In this study, 224 Norwood patients, operated between April 2007 and April 2018, were analysed. A total of 104 patients received a PTFE patch (group PTFE), and 120 patients got a pulmonary homograft patch (group homograft). A single-centre retrospective analysis was carried out concerning postoperative course and long-term follow-up regarding aortic arch interventions and reoperations and comparing the 2 material groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>There were no material associated operative or postoperative complications. In-hospital mortality was 13% in group PTFE. Six children died late during follow-up (6%). One aortic isthmus dilatation (1%) was carried out 12\u2009months after the Norwood procedure in this group, no arch reoperation was necessary during the complete follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>The curved PTFE patch showed good qualities in operative technical demands and excellent long-term results. In selected cases of hypoplastic left heart syndrome, it can be well used as alternative to the pulmonary homograft.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezab433","type":"journal-article","created":{"date-parts":[[2021,9,23]],"date-time":"2021-09-23T12:35:11Z","timestamp":1632400511000},"page":"329-335","source":"Crossref","is-referenced-by-count":9,"title":["Aortic arch reconstruction in the Norwood procedure using a curved polytetrafluorethylene patch"],"prefix":"10.1093","volume":"61","author":[{"given":"Eva","family":"Sames-Dolzer","sequence":"first","affiliation":[{"name":"Division of Pediatric and Congenital Heart Surgery, Kepler University Hospital, JKU, Linz, Austria"},{"name":"Johannes Kepler University Linz, Medical Faculty, Altenberger Strasse 69, 4040 Linz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6358-5048","authenticated-orcid":false,"given":"Gregor","family":"Gierlinger","sequence":"additional","affiliation":[{"name":"Division of Pediatric and Congenital Heart Surgery, Kepler University Hospital, JKU, Linz, Austria"},{"name":"Johannes Kepler University Linz, Medical Faculty, Altenberger Strasse 69, 4040 Linz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michaela","family":"Kreuzer","sequence":"additional","affiliation":[{"name":"Division of Pediatric and Congenital Heart Surgery, Kepler University Hospital, JKU, Linz, Austria"},{"name":"Johannes Kepler University Linz, Medical Faculty, Altenberger Strasse 69, 4040 Linz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0935-1766","authenticated-orcid":false,"given":"Roland","family":"Mair","sequence":"additional","affiliation":[{"name":"Division of Pediatric and Congenital Heart Surgery, Kepler University Hospital, JKU, Linz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Gitter","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Kepler University Hospital, JKU, Linz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Prandstetter","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Kepler University Hospital, JKU, Linz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0473-0257","authenticated-orcid":false,"given":"Gerald","family":"Tulzer","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Kepler University Hospital, JKU, Linz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rudolf","family":"Mair","sequence":"additional","affiliation":[{"name":"Division of Pediatric and Congenital Heart Surgery, Kepler University Hospital, JKU, Linz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,10,18]]},"reference":[{"key":"2022012513094861200_ezab433-B1","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1093\/ejcts\/ezaa188","article-title":"Guidelines for the management of neonates and infants with hypoplastic left heart syndrome: the European Association for Cardio-Thoracic surgery (EACTS) and the Association for European 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