Presentation is loading. Please wait.

Presentation is loading. Please wait.

Surgical management of aortopulmonary window associated with interrupted aortic arch: A Congenital Heart Surgeons Society study  Igor E. Konstantinov,

Published byImogene Hart Modified over 5 years ago

Similar presentations

Presentation on theme: "Surgical management of aortopulmonary window associated with interrupted aortic arch: A Congenital Heart Surgeons Society study  Igor E. Konstantinov,"— Presentation transcript:

1 Surgical management of aortopulmonary window associated with interrupted aortic arch: A Congenital Heart Surgeons Society study  Igor E. Konstantinov, MD, PhD, Tara Karamlou, MD, William G. Williams, MD, Jan M. Quaegebeur, MD, Pedro J. del Nido, MD, Thomas L. Spray, MD, Christopher A. Caldarone, MD, Eugene H. Blackstone, MD, Brian W. McCrindle, MD, MPH  The Journal of Thoracic and Cardiovascular Surgery  Volume 131, Issue 5, Pages e2 (May 2006) DOI: /j.jtcvs Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Morphologic subtypes of APW in IAA. Number of patients in each category (numbers in parentheses). The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Time-related freedom from mortality in 20 neonates with APW and IAA was characterized by an early hazard phase. All patients began at the time of initial admission to a Congenital Heart Surgeons Society member institution. Parametric point estimates (solid lines); 70% confidence interval (dashed lines); nonparametric estimates (circles with error bars); number of patients at risk (numbers in parentheses). The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Competing risk analysis estimated that 5 years after definitive repair, 51% underwent initial arch reintervention, 6% underwent initial pulmonary artery reintervention, and 43% were alive without further intervention. No deaths occurred without subsequent reintervention. The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

5 Figure 4 Time-related reintervention for arch obstruction in 19 neonates with APW and IAA was characterized by a steep early hazard phase. All patients began at the time of initial repair of IAA, and therefore 1 patient who died without intervention is not included in this analysis. Reintervention was required in 10 patients. Freedom from aortic reintervention was 56% at 1 year, 48% at 5 years, and 46% at 10 years. Parametric point estimates (solid lines); 70% confidence interval (dashed lines); nonparametric estimates (circles with error bars); number of patients at risk (numbers in parentheses). The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

6 Figure E3 (Appendix) Overall time-related freedom from reintervention for pulmonary artery obstruction after repair of APW and IAA in 19 neonates. Five patients underwent reintervention after single-stage repair in infancy. In 3 patients, pulmonary artery reintervention occurred concomitant with or after aortic arch reintervention. Overall freedom from reintervention was 78% at 1 year, 75% at 5 years, and 72% at 10 years. Parametric point estimates (solid lines); 70% confidence interval (dashed lines); nonparametric estimates (circles with error bars); number of patients at risk (numbers in parentheses). The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Download ppt "Surgical management of aortopulmonary window associated with interrupted aortic arch: A Congenital Heart Surgeons Society study  Igor E. Konstantinov,"

Similar presentations

Max B. Mitchell, MD  The Journal of Thoracic and Cardiovascular Surgery 

Max B. Mitchell, MD  The Journal of Thoracic and Cardiovascular Surgery 
Advising complex patients who require complex heart operations

Advising complex patients who require complex heart operations
Should lung transplantation be performed for patients on mechanical respiratory support? The US experience  David P. Mason, MD, Lucy Thuita, MS, Edward.

Should lung transplantation be performed for patients on mechanical respiratory support? The US experience  David P. Mason, MD, Lucy Thuita, MS, Edward.
Lars G. Svensson, MD, PhD, Lillian H. Batizy, MS, Eugene H

Lars G. Svensson, MD, PhD, Lillian H. Batizy, MS, Eugene H
Determinants of repair type, reintervention, and mortality in 393 children with double- outlet right ventricle  Timothy J. Bradley, MD, Tara Karamlou,

Determinants of repair type, reintervention, and mortality in 393 children with double- outlet right ventricle  Timothy J. Bradley, MD, Tara Karamlou,
Kathy J. Jenkins, MD, MPH, Kimberlee Gauvreau, ScD, Jane W

Kathy J. Jenkins, MD, MPH, Kimberlee Gauvreau, ScD, Jane W
Can pulmonary conduit dysfunction and failure be reduced in infants and children less than age 2 years at initial implantation?  Tara Karamlou, MD, Eugene.

Can pulmonary conduit dysfunction and failure be reduced in infants and children less than age 2 years at initial implantation?  Tara Karamlou, MD, Eugene.
Outcomes After Late Reoperation in Patients With Repaired Tetralogy of Fallot: The Impact of Arrhythmia and Arrhythmia Surgery  Tara Karamlou, MD, Ilana.

Outcomes After Late Reoperation in Patients With Repaired Tetralogy of Fallot: The Impact of Arrhythmia and Arrhythmia Surgery  Tara Karamlou, MD, Ilana.
Endovascular versus open elephant trunk completion for extensive aortic disease  Eric E. Roselli, MD, Sreekumar Subramanian, MD, Zhiyuan Sun, BS, Jahanzaib.

Endovascular versus open elephant trunk completion for extensive aortic disease  Eric E. Roselli, MD, Sreekumar Subramanian, MD, Zhiyuan Sun, BS, Jahanzaib.
Surgical treatment of pseudoaneurysm of the thoracic aorta

Surgical treatment of pseudoaneurysm of the thoracic aorta
Factors influencing early and late outcome of the arterial switch operation for transposition of the great arteries  Gil Wernovsky, MD* (by invitation),

Factors influencing early and late outcome of the arterial switch operation for transposition of the great arteries  Gil Wernovsky, MD* (by invitation),
Anatomic repair for congenitally corrected transposition of the great arteries: A single- institution 19-year experience  Bari Murtuza, MD, PhD, David.

Anatomic repair for congenitally corrected transposition of the great arteries: A single- institution 19-year experience  Bari Murtuza, MD, PhD, David.
The Optimal Timing of Stage-2-Palliation After the Norwood Operation

The Optimal Timing of Stage-2-Palliation After the Norwood Operation
Surgical Repair of Posterior Mitral Valve Prolapse: Implications for Guidelines and Percutaneous Repair  Douglas R. Johnston, MD, A. Marc Gillinov, MD,

Surgical Repair of Posterior Mitral Valve Prolapse: Implications for Guidelines and Percutaneous Repair  Douglas R. Johnston, MD, A. Marc Gillinov, MD,
Lesion-specific outcomes in neonates undergoing congenital heart surgery are related predominantly to patient and management factors rather than institution.

Lesion-specific outcomes in neonates undergoing congenital heart surgery are related predominantly to patient and management factors rather than institution.
Surgical management of competing pulmonary blood flow affects survival before Fontan/Kreutzer completion in patients with tricuspid atresia type I  Travis.

Surgical management of competing pulmonary blood flow affects survival before Fontan/Kreutzer completion in patients with tricuspid atresia type I  Travis.
Outcomes of Different Surgical Strategies in the Treatment of Neonates with Aortic Coarctation and Associated Ventricular Septal Defects  Bahaaldin Alsoufi,

Outcomes of Different Surgical Strategies in the Treatment of Neonates with Aortic Coarctation and Associated Ventricular Septal Defects  Bahaaldin Alsoufi,
Bahaaldin Alsoufi, MD, Sally Cai, PhD, Glen S

Bahaaldin Alsoufi, MD, Sally Cai, PhD, Glen S
Results of palliation with an initial pulmonary artery band in patients with single ventricle associated with unrestricted pulmonary blood flow  Bahaaldin.

Results of palliation with an initial pulmonary artery band in patients with single ventricle associated with unrestricted pulmonary blood flow  Bahaaldin.
Effects of right ventricular morphology and function on outcomes of patients with degenerative mitral valve disease  Ying Ye, BS, Ravi Desai, MD, Lina.

Effects of right ventricular morphology and function on outcomes of patients with degenerative mitral valve disease  Ying Ye, BS, Ravi Desai, MD, Lina.

Similar presentations

Ads by Google