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Presentation transcript:

Ventricular Function Deteriorates With Recurrent Coarctation in Hypoplastic Left Heart Syndrome Luis Alesandro Larrazabal, MD, Elif Seda Selamet Tierney, MD, David W. Brown, MD, Kimberlee Gauvreau, ScD, Vladimiro L. Vida, MD, Lisa Bergersen, MD, Frank A. Pigula, MD, Pedro J. del Nido, MD, Emile A. Bacha, MD The Annals of Thoracic Surgery Volume 86, Issue 3, Pages 869-874 (September 2008) DOI: 10.1016/j.athoracsur.2008.04.074 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Mean change in right ventricular fractional area change (RV-FAC) for patients with recurrent coarctation was calculated using a coarctation index (CI) of 0.75 or higher as a cutoff value. Patients with a CI of less than 0.75 had a significantly lower RV-FAC at the pre-cavopulmonary shunt (CPS) evaluation than patients with a CI of 0.75 or higher. (Stage I = Norwood palliation.) The Annals of Thoracic Surgery 2008 86, 869-874DOI: (10.1016/j.athoracsur.2008.04.074) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The correlation is shown between coarctation index (CI) values and the difference in right ventricular function fractional area change (RV-FAC) between the post-stage I evaluation and the pre-cavopulmonary shunt (CPS) evaluation (ΔS1-S2 RV-FAC). A lower CI is associated with a greater decrease in RV function between stage I discharge and pre-CPS evaluation. The Annals of Thoracic Surgery 2008 86, 869-874DOI: (10.1016/j.athoracsur.2008.04.074) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 For patients who underwent balloon dilation for recurrent coarctation, mean right ventricular-fractional area change recovers to a level at the pre-Fontan assessment that is not significantly different from that of patients who did not need balloon dilation for recurrent coarctation. (CPS = cavopulmonary shunt.) The Annals of Thoracic Surgery 2008 86, 869-874DOI: (10.1016/j.athoracsur.2008.04.074) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions