Hypoplastic Left Heart Syndrome Surgery: The Norwood Procedureenparentshttps://kidshealth.org/EN/images/headers/J1294_Norwood_Procedure_enHD_2.jpgThe Norwood procedure is open-heart surgery done as the first of three surgeries to treat hypoplastic left heart syndrome (HLHS).hypoplastic left heart syndrome, HLHS, heart defect, atrial septal defect, ASD, patent ductus arteriosus, PDA, left side of the heart, heart conditions, cardiology, cardiologist, heart transplants, hypoplastic, left heart, ductus arteriosus, foramen ovale, ventricles, valves, heart surgery, mitral valve , aortic valve, prostaglandin, norwood, Norwood procedure, Glenn, Glenn shunt operation, Fontan, Fontan operation, hypoplastic left heart syndrome surgery, single ventricle, single ventricle defect, hybrid procedure07/03/201811/28/201809/02/2019Michael A. Bingler, MD11/05/2018b9a1a335-9967-4011-8409-224e3a7b7597https://kidshealth.org/ws/RadyChildrens/en/parents/norwood.html/<h3>Why Does a Baby Need the Norwood Procedure?</h3> <p>Without medicines and a series of three surgeries to rebuild the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/heart.html/">heart</a>, babies with <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/hypoplastic-heart.html/">hypoplastic left heart syndrome (HLHS)</a> won't survive. The left side of the heart can't be fixed, so the goal of the surgeries is to rebuild parts of the heart and "redirect" the way blood flows.</p> <p><img class="right" title="" src="https://kidshealth.org/EN/images/illustrations/HLHSestabNorwood_415X415_enIL.jpg" alt="Illustration: Babies with HLHS need surgery because of these problems" /></p> <p>The first surgery is called the Norwood procedure. It&rsquo;s usually done when a baby is around 1&ndash;2 weeks old.</p> <h3>What Is the Norwood Procedure?</h3> <p>The Norwood procedure is a type of <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/dictionary-open-heart.html/">open-heart surgery</a>. The goals are to:</p> <ul class="kh_longline_list"> <li>Build a new <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/dictionary-aorta.html/">aorta</a> (the main path from the heart to the body).</li> <li>Make the <a class="kh_anchor">right ventricle</a> pump blood to the body through the new aorta.</li> <li>Make the right ventricle pump blood to the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/lungs.html/">lungs</a> through a new path to the <a class="kh_anchor">pulmonary artery</a> (the main path from the heart to the lungs).</li> </ul> <h3>What Happens During the Norwood Procedure?</h3> <p>The main steps of the Norwood procedure are:</p> <ul> <li><strong>Building a new, larger aorta.</strong> The bottom part of the pulmonary artery is joined with the baby's weak, undeveloped aorta. This new aorta is now the path from the right ventricle to the body.</li> </ul> <p>Because the bottom of the pulmonary artery is used to make the new aorta, a new path from the heart to the lungs has to be built by:</p> <ul> <li><strong>Using a <a class="kh_anchor">shunt</a> to get blood to the lungs.</strong> A round tube or "shunt" routes blood either from the aorta (with a Blaylock-Taussig or BT shunt) or directly from the right ventricle (with a Sano shunt) to the pulmonary artery. The care team will decide which shunt is best for the baby.</li> </ul> <p><img class="right" title="" src="https://kidshealth.org/EN/images/illustrations/HLHSnorwood_415X415_enIL.jpg" alt="Illustration showing what happens during the Norwood Procedure" /></p> <p>The shunt is a temporary fix. It helps the baby get blood to the lungs until the next surgery, which creates a more permanent solution.</p> <ul> <li><strong>Closing the <a class="kh_anchor">patent ductus arteriosus (PDA)</a>.</strong> Until now, the PDA was the only way blood could flow to the body. Now that the right ventricle has taken over pumping to the body, the PDA isn't needed anymore.</li> <li><strong>Opening the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/asd.html/">atrial septal defect</a>.</strong> To make sure blood with oxygen gets back to the right ventricle, the atrial septal defect is made bigger. <p><img class="right" title="" src="https://kidshealth.org/EN/images/illustrations/HLHSnorwoodBloodflow_415X415_enIL.jpg" alt="Illustration: After the Norwood procedure, blood reaches the lungs through the shunt." /></p> </li> </ul> <h3>What Happens After the Norwood Procedure?</h3> <p>Babies who have the Norwood procedure usually spend 3 to 4 weeks in the hospital to recover. They get-around-the-clock care and monitoring. They also get medicines to help the heart and improve blood flow.</p> <p>During this time, the care team teaches parents how to care for their baby at home. Babies usually can go home when they are feeding well, growing well, and gaining weight.</p> <p>At home, the baby needs to be watched closely. Parents will be in close contact with the care team, and should keep an eye on:</p> <ul> <li>weight gain and growth</li> <li>oxygen levels</li> </ul> <p>Parents should call the care team right away if their baby:</p> <ul> <li>has feeding problems</li> <li>has breathing problems</li> <li>seems very irritable</li> <li>just doesn't seem quite right</li> </ul> <h3>What's the Next Procedure?</h3> <p>The second surgery is called the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/glenn.html/"><strong>Glenn procedure</strong></a>. It's usually done when a baby is 4 to 6 months old.</p>Cirugía correctora del síndrome de corazón izquierdo hipoplásico: el procedimiento de NorwoodEl procedimiento de Norwood es un tipo de cirugía a corazón abierto.https://kidshealth.org/ws/RadyChildrens/es/parents/norwood-es.html/0c3b9087-e535-458e-a4a4-ec1d154feb66
Atrial Septal Defect (ASD)Atrial septal defect (ASD) — also known as a "hole in the heart" — is a type of congenital heart defect. Most ASDs are diagnosed and treated successfully.https://kidshealth.org/ws/RadyChildrens/en/parents/asd.html/2853e7be-1368-420f-bc8d-134350949604
Heart and Circulatory SystemThe heart and circulatory system are our body's lifeline, delivering blood to the body's tissues. Brush up on your ticker with this body basics article.https://kidshealth.org/ws/RadyChildrens/en/parents/heart.html/52398b6a-54a6-4272-a569-42ed5b12aeac
Hypoplastic Left Heart Syndrome (HLHS)Hypoplastic left heart syndrome (HLHS) is a birth defect of a baby’s heart. The left side of the heart doesn’t grow as it should, making it smaller and weaker than normal. https://kidshealth.org/ws/RadyChildrens/en/parents/hypoplastic-heart.html/3f36bb72-0bef-42bc-b6de-c0fddf263c16
Hypoplastic Left Heart Syndrome Surgery: The Fontan ProcedureThe Fontan procedure is open-heart surgery done as the third of three surgeries to treat hypoplastic left heart syndrome (HLHS).https://kidshealth.org/ws/RadyChildrens/en/parents/fontan.html/19701e72-135a-4174-b6c1-2e2e9d7f7615
Hypoplastic Left Heart Syndrome Surgery: The Glenn ProcedureThe Glenn procedure is open-heart surgery done as the second of three surgeries to treat hypoplastic left heart syndrome (HLHS).https://kidshealth.org/ws/RadyChildrens/en/parents/glenn.html/43b5992f-8492-46f7-9d8c-8cb1088e77e4
Patent Ductus Arteriosus (PDA)The ductus arteriosus is a blood vessel that connects two major arteries before birth and normally closes after a baby is born. If it stays open, the result is a condition called patent ductus arteriosus (PDA).https://kidshealth.org/ws/RadyChildrens/en/parents/patent-ductus-arteriosus.html/1220a363-ed10-4541-94c6-ecb923902cd8
Patent Foramen Ovale (PFO)The foramen ovale is a normal opening between the upper two chambers of an unborn baby’s heart. It usually closes soon after the baby’s birth — when it doesn't, it's called a patent foramen ovale. https://kidshealth.org/ws/RadyChildrens/en/parents/pfo.html/27e4037d-e150-4b0f-a5b9-07375901eff3
kh:age-allAgesOrAgeAgnostickh:clinicalDesignation-cardiothoracicSurgerykh:genre-articlekh:primaryClinicalDesignation-cardiologyHeart & Blood Vesselshttps://kidshealth.org/ws/RadyChildrens/en/parents/medical/heart/e9ef0549-4392-4778-974d-753019ce4b8bhttps://kidshealth.org/EN/images/illustrations/HLHSestabNorwood_415X415_enIL.jpghttps://kidshealth.org/EN/images/illustrations/HLHSnorwood_415X415_enIL.jpghttps://kidshealth.org/EN/images/illustrations/HLHSnorwoodBloodflow_415X415_enIL.jpg