| Literature DB >> 26932364 |
William N Evans1,2, Alvaro Galindo3,4, Abraham Rothman3,4, Michael L Ciccolo3,5, Sergio A Carrillo3,5, Ruben J Acherman3,4, Gary A Mayman3,4, Kathleen A Cass3,4, Katrinka T Kip3,4, Carlos F Luna3,4, Joseph M Ludwick3,4, Robert C Rollins3,4, William J Castillo3,4, John A Alexander3,4, Humberto Restrepo3,4.
Abstract
We reviewed our hybrid palliation experience for 91 neonates, with ductal-dependent systemic circulation, born between August 2007 and October 2015. For analysis, we stratified the 91 patients by a risk factor (RF) score and divided them into three groups: (1) high-risk two-functional ventricles (2V) median RF score of 3 (N = 20); (2) low-risk one-functional ventricle (1V) RF score 0-1 (N = 32); and (3) high-risk 1V RF score ≥2 (N = 39). Midterm survival (median 4 years) by group was: (1) 95 %, (2) 91 %, and (3) 15 %, (p = 0.001). In conclusion, hybrid palliation was associated with excellent midterm results for high-risk 2V and low-risk 1V patients with ductal-dependent systemic circulation. In contrast, high-risk 1V patients had significantly worse outcomes.Entities:
Keywords: Ductal-dependent systemic circulation; Hybrid procedure; Hypoplastic aortic arch; Hypoplastic left heart syndrome
Mesh：
Year: 2016 PMID： 26932364 DOI： 10.1007/s00246-016-1361-3
Source DB: PubMed Journal: Pediatr Cardiol ISSN： 0172-0643 Impact factor: 1.655