Systemic-Pulmonary Shunt Facilitates the Growth of the Pulmonary Valve Annulus in Patients With Tetralogy of Fallot Byung Kwon Chong, MD, Jae Suk Baek,

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Systemic-Pulmonary Shunt Facilitates the Growth of the Pulmonary Valve Annulus in Patients With Tetralogy of Fallot Byung Kwon Chong, MD, Jae Suk Baek, MD, Yu-Mi Im, PhD, Chun Soo Park, MD, Jeong-Jun Park, MD, Tae-Jin Yun, MD, PhD The Annals of Thoracic Surgery Volume 102, Issue 4, Pages 1322-1328 (October 2016) DOI: 10.1016/j.athoracsur.2016.05.064 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Postnatal changes of the Z-score of the pulmonary valve annulus diameter (PVA [Z]) in the primary repair group. The Annals of Thoracic Surgery 2016 102, 1322-1328DOI: (10.1016/j.athoracsur.2016.05.064) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Postnatal changes of the Z-score of the pulmonary valve annulus diameter (PVA [Z]) in the systemic-pulmonary shunt group. The Annals of Thoracic Surgery 2016 102, 1322-1328DOI: (10.1016/j.athoracsur.2016.05.064) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Postnatal changes of the Z-score of the pulmonary valve annulus diameter (PVA [Z]) according to the types of right ventricular outflow tract reconstruction on repair in the systemic-pulmonary shunt group. PVA preservation was eventually achieved in 16 of 19 patients (84%) with a PVA (Z) equal to or greater than −4.0 on initial preshunt echocardiography, whereas all patients with PVA (Z) less than −4.0 received transannular patching. The Annals of Thoracic Surgery 2016 102, 1322-1328DOI: (10.1016/j.athoracsur.2016.05.064) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Receiver operating characteristics curve analysis to determine the value of the initial Z-score of the pulmonary valve annulus diameter (PVA [Z]) above which PVA preservation is predicted on repair after a systemic-pulmonary shunt. (AUC = area under the curve; CI = confidence interval; Sens = sensitivity; Spec = specificity.) The Annals of Thoracic Surgery 2016 102, 1322-1328DOI: (10.1016/j.athoracsur.2016.05.064) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions