Mitral Stenosis and Aortic Atresia—A Risk Factor for Mortality After the Modified Norwood Operation in Hypoplastic Left Heart Syndrome Stephanie L. Siehr,

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Presentation transcript:

Mitral Stenosis and Aortic Atresia—A Risk Factor for Mortality After the Modified Norwood Operation in Hypoplastic Left Heart Syndrome Stephanie L. Siehr, MD, Katsuhide Maeda, MD, Andrew A. Connolly, MD, Theresa A. Tacy, MD, V. Mohan Reddy, MD, Frank L. Hanley, MD, Stanton B. Perry, MD, Gail E. Wright, MD The Annals of Thoracic Surgery Volume 101, Issue 1, Pages 162-167 (January 2016) DOI: 10.1016/j.athoracsur.2015.09.056 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Kaplan-Meier survival estimate comparing survival between mitral stenosis and aortic atresia (MS/AA) subgroup and patients in all other subgroups of hypoplastic left heart syndrome. The Annals of Thoracic Surgery 2016 101, 162-167DOI: (10.1016/j.athoracsur.2015.09.056) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A, B) Left ventricular injections demonstrating diffuse ventriculo-coronary connections between the left ventricular cavity and left and right coronary arteries with retrograde filling of aortic arch. The Annals of Thoracic Surgery 2016 101, 162-167DOI: (10.1016/j.athoracsur.2015.09.056) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Short-axis cross section of a heart with mitral stenosis and aortic atresia showing a hemorrhagic infarct of the left ventricular (LV) free wall and the interventricular septum. (B) Short-axis histologic section of the LV with Masson trichrome stain highlighting the deep sinuses radiating from the LV cavity (arrowheads), ventriculo-coronary connections (arrows), and the inner zone of infarct (labeled “necrotic”). (RV = right ventricle.) The Annals of Thoracic Surgery 2016 101, 162-167DOI: (10.1016/j.athoracsur.2015.09.056) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions