{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T01:32:07Z","timestamp":1781659927194,"version":"3.54.5"},"reference-count":33,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2010,4]]},"abstract":"<jats:p> The aim of this study was to evaluate experience and predictors of early mortality in patients with hypoplastic left heart syndrome (HLHS)\u2013type defects undergoing Norwood procedure (NP) with right ventricle-to-pulmonary artery (RV-PA) shunt. Between 2001 and 2009, a consecutive series of 229 children with HLHS-type single ventricle underwent NP with application of RV-PA shunt. Demographic, echocardiographic, and clinical perioperative data were retrospectively analyzed. The mean duration of follow-up of survivors was 4.5 \u00b1 2.1 years (60 days to 8.1 years). Follow-up was complete for 92.1% of patients. Major early postoperative complications included sepsis\/generalized infection in 40 (17.5%), pericardial effusion in 9 (3.9%), and wound infection in 8 (3.5%). The early (30-day) survival was 87.8% (n = 201). In the late postoperative period, 12 (5.9%) died. Early nonsurvivors were more frequently older than 14 days ( P = .045) at initial surgery, had lower operative weight ( P = .024), had more frequent associated cardiac ( P &lt; .001) and\/or extracardiac anomalies ( P &lt; .001), and were more likely to have a restrictive interatrial communication before operation ( P = .024). Use of the right RV-PA shunt has helped to mitigate some previously described predictors of early death after NP. Longer follow-up will be required to determine whether the RV-PA shunt modification confers an important survival benefit. <\/jats:p>","DOI":"10.1177\/2150135109360914","type":"journal-article","created":{"date-parts":[[2010,4,13]],"date-time":"2010-04-13T21:32:02Z","timestamp":1271194322000},"page":"44-50","source":"Crossref","is-referenced-by-count":5,"title":["Right Ventricle-to-Pulmonary Artery Shunt in Norwood Procedure: Early Results"],"prefix":"10.1177","volume":"1","author":[{"given":"Katarzyna","family":"Januszewska","sequence":"first","affiliation":[{"name":"Ludwig Maximilians University, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rainer","family":"Kozlik-Feldmann","sequence":"additional","affiliation":[{"name":"Ludwig Maximilians University, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Abicht","sequence":"additional","affiliation":[{"name":"Ludwig Maximilians University, Munich, 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