Intersurgeon variability in long-term outcomes after transatrial repair of tetralogy of Fallot: 25 years' experience with 675 patients Yves d'Udekem,

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Presentation transcript:

Intersurgeon variability in long-term outcomes after transatrial repair of tetralogy of Fallot: 25 years' experience with 675 patients Yves d'Udekem, MD, PhD, John C. Galati, BSc, PhD, Igor E. Konstantinov, MD, PhD, Michael H. Cheung, MB, ChB, Christian P. Brizard, MD The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 3, Pages 880-888 (March 2014) DOI: 10.1016/j.jtcvs.2013.11.010 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A smaller incision of the right ventricular outflow tract led to reoperation for right ventricular outflow tract obstruction and a larger incision to reoperation for right ventricular dilatation. RV, Right ventricle; LV, left ventricle. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 880-888DOI: (10.1016/j.jtcvs.2013.11.010) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Freedom from the first reintervention for the 5 surgeons who had performed >80 procedures and for the reference group of 8 surgeons for the indications of right ventricular obstruction, right ventricular dilatation, and origin of the pulmonary artery stenosis. Black indicates proportion of reoperations for pulmonary artery stenosis; black to red, proportion of reoperations for right ventricular dilatation; red to green, proportion of reoperations for right ventricular outflow tract obstruction. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 880-888DOI: (10.1016/j.jtcvs.2013.11.010) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Freedom from implantation of a valved conduit in the right ventricular outflow tract for the 5 surgeons who had performed >80 procedures and the reference group of 8 surgeons. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 880-888DOI: (10.1016/j.jtcvs.2013.11.010) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Relative hazard for reoperation for right ventricular outflow tract (RVOT) obstruction and right ventricular (RV) dilatation as a function of the RVOT gradient before hospital discharge after transatrial repair for tetralogy of Fallot (ToF). The Journal of Thoracic and Cardiovascular Surgery 2014 147, 880-888DOI: (10.1016/j.jtcvs.2013.11.010) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions