{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T15:10:06Z","timestamp":1752160206725,"version":"3.41.2"},"reference-count":0,"publisher":"European Association of Cardiothoracic Surgery (EACTS Publishing Ltd)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MMCTS"],"published-print":{"date-parts":[[2025,7,10]]},"abstract":"<jats:p>We present a 3.7-kg neonate with a foetal diagnosis of hypoplastic left heart syndrome who underwent stage I Norwood palliation using two technical modifications. We reconstructed the aortic arch and the aorto-pulmonary connection by following the Birmingham technique. The source of pulmonary blood flow was provided via a right ventricular-to-pulmonary artery shunt (Sano). A novel modification to the Sano conduit is demonstrated that we believe is more anatomical and physiologic. The composite Sano conduit was constructed using a 5-mm externally reinforced polytetrafluoroethylene graft connected to a 7-mm aortic homograft valve. The homograft valve was placed at the right ventricular end of the Sano conduit. We believe this design mimics a more normal anatomical right ventricular-to-pulmonary arterial connection and will help preserve the single ventricle function due to the lack of free pulmonary regurgitation.<\/jats:p>","DOI":"10.1510\/mmcts.2025.066","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T14:46:57Z","timestamp":1752158817000},"source":"Crossref","is-referenced-by-count":0,"title":["A novel modification for the Sano conduit during stage I Norwood palliation for hypoplastic left heart syndrome: towards a more anatomical and physiologic connection"],"prefix":"10.1510","member":"10966","published-online":{"date-parts":[[2025,7,10]]},"container-title":["Multimedia Manual of Cardio-Thoracic Surgery"],"original-title":[],"deposited":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T14:46:58Z","timestamp":1752158818000},"score":1,"resource":{"primary":{"URL":"https:\/\/mmcts.org\/tutorial\/2042"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,10]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1510\/mmcts.2025.066","relation":{},"ISSN":["1813-9175"],"issn-type":[{"value":"1813-9175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,10]]}}}