Yasutaka Hirata, MD, Jonathan M. Chen, MD, Jan M

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Pulmonary Atresia With Intact Ventricular Septum: Limitations of Catheter-Based Intervention Yasutaka Hirata, MD, Jonathan M. Chen, MD, Jan M. Quaegebeur, MD, William E. Hellenbrand, MD, Ralph S. Mosca, MD The Annals of Thoracic Surgery Volume 84, Issue 2, Pages 574-580 (August 2007) DOI: 10.1016/j.athoracsur.2007.04.003 Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Flow chart of outcome for patients with pulmonary atresia-intact ventricular septum. Box with broken line shows the patients with biventricular repair strategy. (BDG = bidirectional Glenn operation; BTS = modified Blalock-Taussig shunt; OHT = orthotopic heart transplantation; RVOTR = right ventricular outflow tract reconstruction.) The Annals of Thoracic Surgery 2007 84, 574-580DOI: (10.1016/j.athoracsur.2007.04.003) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Freedom from surgery after catheter valvuloplasty; 15 (15 of 17, 88%) patients underwent further surgery 12 ± 6 days after the catheter valvuloplasty. (Dashed lines indicate 95% confidence limits.) The Annals of Thoracic Surgery 2007 84, 574-580DOI: (10.1016/j.athoracsur.2007.04.003) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Overall actuarial survival curve after the first intervention. (Dashed lines represent 95% confidence limits.) The Annals of Thoracic Surgery 2007 84, 574-580DOI: (10.1016/j.athoracsur.2007.04.003) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Definitive repair status and the tricuspid valve Z value. (● = pulmonary atresia with intact ventricular septum [PAIVS]; ■ = PAIVS-Ebstein.) The Annals of Thoracic Surgery 2007 84, 574-580DOI: (10.1016/j.athoracsur.2007.04.003) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Change in the tricuspid regurgitation before and after right ventricle decompression (patients with Ebstein’s anomaly excluded). Tricuspid regurgitation significantly decreased (p = 0.006, Wilcoxon signed rank test). The Annals of Thoracic Surgery 2007 84, 574-580DOI: (10.1016/j.athoracsur.2007.04.003) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions