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As surgeons have become more skilled with the operative and postoperative care of patients with hypoplastic left heart syndrome palliated with a norwood procedure, the results with the yasui operation can be expected to be quite good, both as a primary operation as well as a staged procedure. In contrast to an s1p, however, systemic blood flow is exclusively derived from the lv as the vsd is closed through the rv and baffled to the native pv. Technique the yasui procedure is done via a median sternotomy and uses cardiopulmonary bypass
If there is a patent ductus arteriosus, the surgeon begins by closing it This takes place via the yasui procedure, which includes an aortopulmonary anastomosis and aortic arch reconstruction (i.e The surgeon then connects the separated parts of the aorta together.
The yasui procedure offers the advantage of a primary or staged biventricular repair, with no shunting and a reliable source of fully oxygenated systemic blood flow.
Members of the yasui family were among the millions of immigrants who came to the united states seeking new opportunities during the late 1800s and early 1900s. The yasui procedure combines the elements of the norwood and rastelli operations It can be performed in a single stage during the neonatal period or as a staged procedure. The yasui operation was introduced in 1987 for patients with 2 adequate ventricles, a ventricular septal defect, and aortic atresia or interrupted aortic arch
The term “norelli” procedure has been applied to this modification of the yasui procedure, combining the essential elements of the norwood procedure with the rastelli procedure. The yasui procedure allows leaving the left ventricle as the systemic ventricle, but uses the pulmonary valve as the systemic semilunar valve These videos illustrate the technical aspects of the yasui procedure. The yasui operation is effective for patients with iaa/lvoto and aa/vsd
Primary and staged repair have comparable results
Reoperation after biventricular repair seems inevitable, mostly for conduit replacement
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