Observational Study
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Pediatr. Aug 8, 2016; 5(3): 319-324
Published online Aug 8, 2016. doi: 10.5409/wjcp.v5.i3.319
Single institution experience with the Ladd’s procedure in patients with heterotaxy and stage I palliated single-ventricle
Kurt D Piggott, Grace George, Harun Fakioglu, Carlos Blanco, Sukumar Saguna Narasimhulu, Kamal Pourmoghadam, Hamish Munroe, William Decampli
Kurt D Piggott, Grace George, Harun Fakioglu, Carlos Blanco, Sukumar Saguna Narasimhulu, Kamal Pourmoghadam, Hamish Munroe, William Decampli, the Heart Center at Arnold Palmer Hospital for Children, Pediatric Cardiac Intensive Care Medicine, Orlando, FL 32806, United States
Author contributions: Piggott KD, George G, Fakioglu H, Blanco C, Pourmoghadam K, Munroe H, Decampli W contributed to study conception and design; Piggott KD and George G contributed to data analysis and interpretation and writing of article; Narasimhulu SS, Munroe H and Decampli W contributed to editing reviewing and final approval of article.
Institutional review board statement: This study was approved by the Arnold Palmer Medical Center institutional review board.
Informed consent statement: We obtained IRB approval including waiver of informed consent prior to commencing this paper.
Conflict-of-interest statement: All authors have no conflict of interest to report.
Data sharing statement: All authors consent to sharing and downloading of all data present in this paper.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Kurt D Piggott, MD, the Heart Center at Arnold Palmer Hospital for Children, Pediatric Cardiac Intensive Care Medicine, 92 W. Miller Street, MP307, Orlando, FL 32806, United States. kurt.piggott@orlandohealth.com
Telephone: +1-407-7662948 Fax: +1-321-8414260
Received: January 20, 2016
Peer-review started: January 20, 2016
First decision: March 24, 2016
Revised: April 11, 2016
Accepted: June 1, 2016
Article in press: June 3, 2016
Published online: August 8, 2016
Processing time: 200 Days and 18.4 Hours
Core Tip

Core tip: Babies born with congenital heart disease consisting of a functional single-ventricle present a complicated subset of patients to care for. When these patients also have heterotaxy and an intestinal rotational anomaly combined with their heart defect, determining when and how to safely perform a Ladd’s procedure is challenging for clinicians involved in their care. Having experienced practitioners involved and using protocolized care may help reduce surgical morbidity and mortality in these patients.