| Title: |
Long-term Outcomes of Staged Complete Repair of Pulmonary Atresia With Ventricular Septal Defect. |
| Authors: |
Macalister, Samuel J.1,2,3 (AUTHOR); Buratto, Edward1,2,3 (AUTHOR); Naimo, Phillip S.1,2,3 (AUTHOR); Ye, Xin Tao1,2,3 (AUTHOR); Fulkoski, Nicholas1 (AUTHOR); Weintraub, Robert G.2,3,4,5 (AUTHOR); Brizard, Christian P.1,2,3,4 (AUTHOR); Konstantinov, Igor E.1,2,3,4 (AUTHOR) igor.konstantinov@rch.org.au |
| Source: |
Annals of Thoracic Surgery. Feb2023, Vol. 115 Issue 2, p445-451. 7p. |
| Abstract: |
The optimal strategy for pulmonary atresia with ventricular septal defect (PA-VSD) without major aortopulmonary collateral arteries is yet to be defined. It remains unclear how primary complete repair compares with staged repair. This study reviewed the records of 107 patients with PA-VSD who were managed with systemic-to-pulmonary shunts from February 1989 to November 2019. Tables presenting summary statistics of patient and surgical data and Kaplan-Meier curves showing repair, mortality, and reoperation were created. Logistic regression analysis was performed to identify risk factors for repair, morbidity, and mortality. A total of 91 (85%) patients achieved complete repair at a median age of 1 year (interquartile range [IQR], 8-20 months). Survival was as follows: 97 (90%) patients at 6 months, 91 (85%) at 20 months, and 87 (81%) at 10 years. A shunt diameter of 3.5 mm or less (P =.006) and shunt after 2009 (P |
| Database: |
Supplemental Index |