Unifocalization of major aortopulmonary collateral arteries in pulmonary atresia with ventricular septal defect is essential to achieve excellent outcomes.

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Presentation transcript:

Unifocalization of major aortopulmonary collateral arteries in pulmonary atresia with ventricular septal defect is essential to achieve excellent outcomes irrespective of native pulmonary artery morphology Ben Davies, MRCS(Eng), PhD, Shafi Mussa, MA, MD, MRCS(Eng), Paul Davies, PhD, John Stickley, BSc, Timothy J. Jones, MD, FRCS(CTh), David J. Barron, MD, MRCP, FRCS(CTh), William J. Brawn, FRCS, FRACS The Journal of Thoracic and Cardiovascular Surgery Volume 138, Issue 6, Pages 1269-1275.e1 (December 2009) DOI: 10.1016/j.jtcvs.2009.08.011 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Flow chart summarizing the surgical treatment of 216 patients. MAPCA, Major aortopulmonary collateral arteries; PA, pulmonary artery; RV, right ventricle; VSD, ventricular septal defect. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 1269-1275.e1DOI: (10.1016/j.jtcvs.2009.08.011) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Scatter plot showing distribution of patients by outcome category after definitive surgery. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 1269-1275.e1DOI: (10.1016/j.jtcvs.2009.08.011) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Kaplan–Meier estimated survival of all patients after definitive surgery according to native PA morphology. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 1269-1275.e1DOI: (10.1016/j.jtcvs.2009.08.011) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Kaplan–Meier estimated survival of all patients after definitive surgery according to VSD status. VSD, Ventricular septal defect. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 1269-1275.e1DOI: (10.1016/j.jtcvs.2009.08.011) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Kaplan–Meier estimated survival of all patients after definitive surgery according to VSD and RV-PA conduit status. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 1269-1275.e1DOI: (10.1016/j.jtcvs.2009.08.011) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 6 Kaplan–Meier estimated survival of all patients after definitive surgery according to VSD and whether VSD closure was achieved by 1-stage or multistage repair. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 1269-1275.e1DOI: (10.1016/j.jtcvs.2009.08.011) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions