Causes of Death After Congenital Heart Surgery

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Presentation transcript:

Causes of Death After Congenital Heart Surgery Marsha Ma, MD, Kimberlee Gauvreau, ScD, Catherine K. Allan, MD, John E. Mayer, MD, Kathy J. Jenkins, MD, MPH The Annals of Thoracic Surgery Volume 83, Issue 4, Pages 1438-1445 (April 2007) DOI: 10.1016/j.athoracsur.2006.10.073 Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Flow diagram displays the categorization of the 100 patients in this study into the various categories of technical adequacy. (Preop = preoperative.) The Annals of Thoracic Surgery 2007 83, 1438-1445DOI: (10.1016/j.athoracsur.2006.10.073) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Progression of right ventricular function preoperatively, postoperatively, and predemise. Ventricular function was determined by echocardiography. Right ventricular function was statistically significantly worse between the preoperative and predemise time points (p = 0.03). (B) Progression of left ventricular function preoperatively, postoperatively, and predemise. Ventricular function was determined by echocardiography. Left ventricular function was statistically significantly worse between the preoperative and predemise time points (p = 0.02). The Annals of Thoracic Surgery 2007 83, 1438-1445DOI: (10.1016/j.athoracsur.2006.10.073) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Causes of death after congenital heart surgery in our study population. Low output state includes venticular failure, inadequate postoperative physiology, pulmonary hypertension, and severe atrioventricular valvar regurgitation (AVVR). The category “other” includes causes of death for 1 patient each, n = 100. The Annals of Thoracic Surgery 2007 83, 1438-1445DOI: (10.1016/j.athoracsur.2006.10.073) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 (A) Cause of death for patients with a correct therapeutic plan, n = 34. (B) Cause of death for patients with a failed therapeutic plan, n = 39. (C) Cause of death for patients with residual anatomic defects, n = 23. The Annals of Thoracic Surgery 2007 83, 1438-1445DOI: (10.1016/j.athoracsur.2006.10.073) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions