The morphologic left ventricle that requires training by means of pulmonary artery banding before the double-switch procedure for congenitally corrected.

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Presentation transcript:

The morphologic left ventricle that requires training by means of pulmonary artery banding before the double-switch procedure for congenitally corrected transposition of the great arteries is at risk of late dysfunction David W. Quinn, FRCS, Simon P. McGuirk, FRCS, Chetan Metha, MRCP, Peter Nightingale, PhD, Joseph V. de Giovanni, FRCP, Rami Dhillon, MRCP, Paul Miller, MRCS, Oliver Stumper, MD, John G. Wright, FRCP, David J. Barron, MD, FRCS, William J. Brawn, FRCS, FRACS The Journal of Thoracic and Cardiovascular Surgery Volume 135, Issue 5, Pages 1137-1144.e2 (May 2008) DOI: 10.1016/j.jtcvs.2008.02.017 Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A comparison of freedom from death/transplantation after the double-switch procedure (A); death/transplantation, moderate-to-severe morphologic left ventricle (mLV) dysfunction, or both after the double-switch procedure (B); and the actuarial prevalence of patients free from death/transplantation but with moderate-to-severe mLV dysfunction (C). The Journal of Thoracic and Cardiovascular Surgery 2008 135, 1137-1144.e2DOI: (10.1016/j.jtcvs.2008.02.017) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

The characterization of patient groups undergoing the DS procedure The characterization of patient groups undergoing the DS procedure. The bold-bordered boxes represent the final grouping of patients (untrained mLV group CCF and PHT, n = 11; VSD with proactive PA banding mLVOTO, n = 22; trained mLV group by means of PA banding for mLV training, n = 11). CCTGA, Congenitally corrected transposition of the great arteries; CCF, congestive cardiac failure; PHT, pulmonary hypertension; VSD, ventricular septal defect; PA, pulmonary artery; mLVOTO, morphologic left ventricular outflow tract; mLV, morphologic left ventricle. The Journal of Thoracic and Cardiovascular Surgery 2008 135, 1137-1144.e2DOI: (10.1016/j.jtcvs.2008.02.017) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

A comparison of moderate-to-severe valvular regurgitation between groups: A, tricuspid valve (Factor used in multivariate analysis); B, mitral valve; C, aortic valve. mLV, Morphologic left ventricle; TR, tricuspid regurgitation; DS, double-stitch procedure; d/c, discharge; f/u, follow-up; CCTGA, congenitally corrected transposition of the great arteries; MR, mitral regurgitation; AR, aortic regurgitation. Numbers on graph represent missing values. The Journal of Thoracic and Cardiovascular Surgery 2008 135, 1137-1144.e2DOI: (10.1016/j.jtcvs.2008.02.017) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions