Additional Pulmonary Blood Flow Has No Adverse Effect on Outcome After Bidirectional Cavopulmonary Anastomosis Pascal A. Berdat, MD, Emré Belli, MD,

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Additional Pulmonary Blood Flow Has No Adverse Effect on Outcome After Bidirectional Cavopulmonary Anastomosis Pascal A. Berdat, MD, Emré Belli, MD, François Lacour-Gayet, MD, Claude Planché, MD, Alain Serraf, MD, PhD The Annals of Thoracic Surgery Volume 79, Issue 1, Pages 29-36 (January 2005) DOI: 10.1016/j.athoracsur.2004.06.002 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Estimated Kaplan-Meyer survival curve for freedom of all events after bidirectional Glenn anastomosis, including total cavopulmonary connection outcome. Differences not significant (p = 0.96, Mantel-Cox) among groups 1, 2, and 3. The Annals of Thoracic Surgery 2005 79, 29-36DOI: (10.1016/j.athoracsur.2004.06.002) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Repeated-measures analysis of variance; p values for group effect, time effect, and interaction are depicted. (A) Arterial oxygen saturations: *p < 0.01, group 1 versus 2; §p = 0.005, group 1 versus 3; +p < 0.05, group 2 versus 3. (BDG = bidirectional Glenn anastomosis; open squares = group 2; solid squares = group 3; TCPC = total cavopulmonary connection; triangles = group 1.) (B) Pulmonary artery pressures: *p = 0.01, group 1 versus 3. (Open squares = group 2; solid squares = group 3; triangles = group 1.) Stratified by groups 1, 2, and 3. The Annals of Thoracic Surgery 2005 79, 29-36DOI: (10.1016/j.athoracsur.2004.06.002) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Repeated-measures analysis of variance; p values for group effect, time effect, and interaction are depicted. (A) Systemic ventricle (SV) fractional shortening, obtained from cardiac catheterization: *p < 0.005, group 1 versus 2 and 3. (APBF = additional pulmonary blood flow; BDG = bidirectional Glenn anastomosis; solid squares = with APBF, groups 2 and 3; TCPC = total cavopulmonary connection; triangles = without APBF, group 1.) (B) Systemic ventricle end-diastolic diameter index (SVEDDI), obtained from cardiac catheterization (Fisher's exact test): *p = 0.001, group 1 versus 3; **p < 0.01, group 1 versus 3. (Open squares = group 2; solid squares = group 3; triangles = group 1.) (C) Systemic ventricle end-diastolic pressure (SVEDP), obtained from cardiac catheterization. (Open squares = group 2; solid squares = group 3; triangles = group 1.) (D) Atrioventricular valve (AV) regurgitation (grade 0 to 4), evaluated by serial echocardiography: *p < 0.02 for group 2; **p < 0.05 for groups 1 and 2. (Open squares = group 2; solid squares = group 3; triangles = group 1.) Stratified by groups 1, 2, and 3 (B–D). The Annals of Thoracic Surgery 2005 79, 29-36DOI: (10.1016/j.athoracsur.2004.06.002) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions