Junya Sugiura, MD, Toshihide Nakano, MD, Hideaki Kado, MD

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Presentation transcript:

Left Ventricular Outflow Tract Obstruction in Aortic Arch Anomalies With Ventricular Septal Defect Junya Sugiura, MD, Toshihide Nakano, MD, Hideaki Kado, MD The Annals of Thoracic Surgery Volume 101, Issue 6, Pages 2302-2308 (June 2016) DOI: 10.1016/j.athoracsur.2015.12.048 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Histogram showing the aortic valve annulus z-score. (Red bars = tricuspid; blue bars = bicuspid.) The Annals of Thoracic Surgery 2016 101, 2302-2308DOI: (10.1016/j.athoracsur.2015.12.048) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Changes in aortic valve annulus z-score. (A) Z-score −3.0 or less (red lines) versus z-score greater than −3.0 (blue lines) before primary repair. (B) Bicuspid patients (red lines) versus tricuspid patients (blue lines) among patients with a z-score of −3.0 or less. (op. = operation.) The Annals of Thoracic Surgery 2016 101, 2302-2308DOI: (10.1016/j.athoracsur.2015.12.048) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Freedom from left ventricular outflow obstruction (LVOTO) after primary repair. (A) Bicuspid patients (red line) versus tricuspid patients (blue line). (B) Z-score −3.0 or less (red line) versus z-score greater than −3.0 (blue line) before primary repair. The Annals of Thoracic Surgery 2016 101, 2302-2308DOI: (10.1016/j.athoracsur.2015.12.048) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Freedom from reoperation after primary repair. (A) Bicuspid patients (red line) versus tricuspid patients (blue line). (B) Z-score −3.0 or less (red line) versus z-score greater than −3.0 (blue line) before primary repair. The Annals of Thoracic Surgery 2016 101, 2302-2308DOI: (10.1016/j.athoracsur.2015.12.048) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Changes in the left ventricular outflow tract velocity after reoperation (reop.): Ross-Konno, case 2 (blue diamonds) and case 3 (blue squares); AVR with Konno plus Nicks, case 5 (black triangles); modified Konno, case 4 (red crosses), case 7 (red double diamonds), and case 11 (red circles). (AVR = aortic valve replacement.) The Annals of Thoracic Surgery 2016 101, 2302-2308DOI: (10.1016/j.athoracsur.2015.12.048) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions