Natural History of Pulmonary Atresia With Intact Ventricular Septum and Right- Ventricle–Dependent Coronary Circulation Managed by the Single-Ventricle.

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Presentation transcript:

Natural History of Pulmonary Atresia With Intact Ventricular Septum and Right- Ventricle–Dependent Coronary Circulation Managed by the Single-Ventricle Approach Kristine J. Guleserian, MD, Laurie B. Armsby, MD, Ravi R. Thiagarajan, MD, Pedro J. del Nido, MD, John E. Mayer, MD The Annals of Thoracic Surgery Volume 81, Issue 6, Pages 2250-2258 (June 2006) DOI: 10.1016/j.athoracsur.2005.11.041 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 This cineangiogram is a lateral projection of a selective injection into the left coronary artery. The distal left anterior descending artery is absent. The Annals of Thoracic Surgery 2006 81, 2250-2258DOI: (10.1016/j.athoracsur.2005.11.041) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 This cineangiogram is an injection in the right ventricle showing a large coronary artery (probably the distal left anterior descending artery) arising from the right ventricle, which supplies the entire distal left anterior descending artery territory. The Annals of Thoracic Surgery 2006 81, 2250-2258DOI: (10.1016/j.athoracsur.2005.11.041) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Actuarial survival for the entire cohort (n = 32). Vertical bars indicate 95% confidence interval. The Annals of Thoracic Surgery 2006 81, 2250-2258DOI: (10.1016/j.athoracsur.2005.11.041) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Current status of the entire cohort (n = 32). (BTS = Blalock-Taussig shunt; BDG = bidirectional Glenn shunt; s/p = status post.) The Annals of Thoracic Surgery 2006 81, 2250-2258DOI: (10.1016/j.athoracsur.2005.11.041) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions