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The Norwood procedure enhances blood circulation in newborns with hypoplastic left heart syndrome (HLHS). This surgery allows the right ventricle to compensate for an underdeveloped left ventricle and aorta. Post-operation, the right ventricle pumps blood to the lungs for oxygenation and also circulates oxygen-rich blood throughout the body.
This surgery allows the right side of a baby’s heart to send oxygen-rich blood to the body, a function typically performed by the left side. In a baby with HLHS, the left side of the heart is not developed enough to handle this task.
After the surgery, the right ventricle continues its normal function of pumping deoxygenated blood to the lungs. However, it also takes on the role of the left ventricle by pumping oxygenated blood to the rest of the body.
While this does not maintain the separation between oxygenated and deoxygenated blood like a normal heart, it significantly improves oxygen delivery to the baby’s cells and tissues, offering a better quality of life despite not being a perfect solution.
Who needs to have a Norwood procedure?
Babies with hypoplastic left heart syndrome (HLHS) require this surgery within the first few weeks of life. Due to their underdeveloped left ventricle, the Norwood procedure allows their right ventricle to execute the functions of both ventricles.
For the first few days after birth, a baby’s blood can flow between the aorta and pulmonary artery through the patent ductus arteriosus, allowing the right ventricle to send blood to both the lungs and the body. However, once this opening closes naturally after birth, the right ventricle can no longer send blood to the body, necessitating the Norwood procedure.
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Jeddah, Saudi Arabia

NMC Chronic Care Specialized Hospital is a 200-bed long-term acute care (LTAC) facility located in Jeddah, Saudi Arabia. The hospital specializes in providing high-quality inpatient medical and critical care for pediatric, adult, and geriatric patients with long-term and acute healthcare needs. In addition to its inpatient services, NMC Chronic Care operates a stand-alone outpatient dialysis unit, offering specialized care for patients with kidney conditions. The hospital is also known for its comprehensive home healthcare program, delivering essential medical services directly to patients' homes. This includes a range of services such as nursing care, wound care, IV therapy, hemodialysis, physiotherapy, and respiratory care, all tailored to improve the quality of life and promote recovery in the comfort of the patient's environment. With its patient-centered approach and dedicated team of healthcare professionals, NMC Chronic Care Hospital ensures continuous, compassionate care across a variety of medical needs.
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Cardiologist
21 Years of Experience
Dr. Naresh Kumar Goyal is highly trained as a cardiologist with exposure in virtually all aspects of cardiology. He qualified with an MD in internal medicine in 1999 from SMS Medical College, Jaipur, and served in the Cardiology Department as an honorary resident. From this stage, he also started with training in the temporary pacing of the pacemaker as well as interventional services. View More