Total Anomalous Pulmonary Venous Connection: An Analysis of Current Management Strategies in a Single Institution Camille L. Hancock Friesen, MD, David.

Slides:

Advertisements

Similar presentations

Survival After Single Versus Bilateral Lung Transplantation for High-Risk Patients With Pulmonary Fibrosis Eric S. Weiss, MD, MPH, Jeremiah G. Allen,

Advertisements

Elizabeth A. David, MD, David T

Reply The Annals of Thoracic Surgery

Zhiqiang Xue, MD, Fengying Wu, MD, Karlyn E

Hancock II Bioprosthesis for Aortic Valve Replacement: The Gold Standard of Bioprosthetic Valves Durability? Tirone E. David, MD, Susan Armstrong, MS,

Lisa M. Brown, MD, MAS, David T. Cooke, MD, Elizabeth A. David, MD

Early Outcomes of Primary Sutureless Repair of the Pulmonary Veins

Surgery for coarctation of the aorta in infants weighing less than 2 kg Emile A Bacha, MD, Melvin Almodovar, MD, David L Wessel, MD, David Zurakowski,

Outcomes After Bidirectional Glenn Operation: Blalock-Taussig Shunt Versus Right Ventricle–to–Pulmonary Artery Conduit Lillian Lai, MHA, MD, Peter C.

Biventricular Conversion After Single Ventricle Palliation in Patients With Small Left Heart Structures: Short-Term Outcomes Brian T. Kalish, MD, Puja.

Robert E. Merritt, MD, Richard I. Whyte, MD, Nicole T

Influence of Pulmonary Hypertension on Patients With Idiopathic Pulmonary Fibrosis Awaiting Lung Transplantation Don Hayes, MD, MS, Sylvester M. Black,

B. Zane Atkins, MD, Rebecca P. Petersen, MD, MS, Mani A

Castigliano M. Bhamidipati, DO, MS, George J

Lymph Node Evaluation Achieved by Open Lobectomy Compared With Thoracoscopic Lobectomy for N0 Lung Cancer Robert E. Merritt, MD, Chuong D. Hoang, MD,

Operative Results and Outcomes in Children With Shone's Anomaly

Long-term results after early primary repair of tetralogy of Fallot

Outcomes of Different Surgical Strategies in the Treatment of Neonates with Aortic Coarctation and Associated Ventricular Septal Defects Bahaaldin Alsoufi,

Bahaaldin Alsoufi, MD, Sally Cai, PhD, Glen S

Jennifer K. Peterson, MS, Lazaros K. Kochilas, MD, MSCR, Kirsti G

Venous Thromboembolic Complications of Lung Transplantation: A Contemporary Single-Institution Review Charles F. Evans, MD, Aldo T. Iacono, MD, Pablo.

Varun Puri, MD, Andrew Tran, MS, Jennifer M. Bell, BS, Traves D

Long-Term Outcomes of the Mosaic Bioprosthesis

Chordae Replacement Versus Resection for Repair of Isolated Posterior Mitral Leaflet Prolapse: À Ègalité Joerg Seeburger, MD, Volkmar Falk, MD, PhD,

Total Arterial Revascularization: A Superior Strategy for Diabetic Patients Who Require Coronary Surgery James Tatoulis, MD, FRACS, Rochelle Wynne, PhD,

Natural History of Pulmonary Atresia With Intact Ventricular Septum and Right- Ventricle–Dependent Coronary Circulation Managed by the Single-Ventricle.

John M. Karamichalis, MD, Pedro J. del Nido, MD, Ravi R

Age-Dependent Gender Disparities in Post Lung Transplant Survival Among Patients With Idiopathic Pulmonary Fibrosis Shahid I. Sheikh, MD, Don Hayes,

Analysis of Surgical Outcome in Complex Double-Outlet Right Ventricle With Heterotaxy Syndrome or Complete Atrioventricular Canal Defect Koh Takeuchi,

Ross Versus Non-Ross Aortic Valve Replacement in Children: A 22-Year Single Institution Comparison of Outcomes John W. Brown, MD, Parth M. Patel, BS,

Elliot Wakeam, MD, MPH, James P. Byrne, MD, Gail E

Impact of Blood Product Transfusion on Short and Long-Term Survival After Cardiac Surgery: More Evidence Balu Bhaskar, MD, FCICM, Joel Dulhunty, PhD,

Palliation Outcomes of Neonates Born With Single-Ventricle Anomalies Associated With Aortic Arch Obstruction Bahaaldin Alsoufi, MD, Courtney McCracken,

Fernando Fleischman, MD, Ramsey S. Elsayed, MD, Robbin G

Interaction of Donor and Recipient Age: Do Older Heart Transplant Recipients Require Younger Hearts? Malini Daniel, MD, Carol Chen, MD, Jennifer Chung,

Kathryn E. Engelhardt, MD, Malcolm M. DeCamp, MD, Anthony D

Eric S. Weiss, MD, MPH, Jeremiah G. Allen, MD, Christian A

Radiofrequency Ablation for the Treatment of Pulmonary Metastases

Kevin L. Greason, MD, Brian D. Lahr, MS, John M

Management and Outcomes of Heterotaxy Syndrome Associated With Pulmonary Atresia or Pulmonary Stenosis Vinod A. Sebastian, MD, Javier Brenes, MD, Raghav.

Characteristics of Malignant Pleural Mesothelioma in Women

Posttransplant Outcomes Among Septuagenarians Bridged to Transplantation With Continuous-Flow Left Ventricular Assist Devices Shinichi Fukuhara, MD,

Impact of the Evolution of the Fontan Operation on Early and Late Mortality: A Single- Center Experience of 405 Patients Over 3 Decades Hideo Ohuchi,

Optimal Timing for Elective Early Primary Repair of Tetralogy of Fallot: Analysis of Intermediate Term Outcomes Michael E.A. Cunningham, MD, Mary T.

Pretransplant Panel Reactive Antibodies in Human Lung Transplantation: An Analysis of Over 10,000 Patients Ashish S. Shah, MD, Lois Nwakanma, MD, Christopher.

Surgical Outcomes of Chronic Descending Dissections: Type I Versus III DeBakey Ivancarmine Gambardella, MD, FRCS, Mario Gaudino, MD, Christopher Lau,

Improving results of the modified Fontan operation in patients with heterotaxy syndrome Christof Stamm, MD, Ingeborg Friehs, MD, Lennart F Duebener, MD,

Contemporary Outcomes of Surgical Repair of Total Anomalous Pulmonary Venous Connection in Patients With Heterotaxy Syndrome Muhammad S. Khan, MD, Roosevelt.

Long-term results of the lateral tunnel Fontan operation

Is There a Benefit to Prolonging the Interval Between Neoadjuvant Chemoradiation and Esophagectomy in Esophageal Cancer? Anna Lee, MD, MPH, Andrew T.

Complex Cusp Repair in Patients Undergoing the David Procedure: Is It Worth It? Hardy Baumbach, MD, Kristina Wachter, MD, Ragi Nagib, MD, Samir Ahad,

Trends in Patient Characteristics and Outcomes of Coronary Artery Bypass Grafting in the 2000 to 2012 Medicare Population Christian McNeely, MD, Stephen.

Hybrid Debranching With Endovascular Repair for Thoracoabdominal Aneurysms: A Comparison With Open Repair Himanshu J. Patel, MD, Gilbert R. Upchurch,

Valved homograft conduit repair of the right heart in early infancy

Preoperative Performance Status Impacts Perioperative Morbidity and Mortality After Lung Transplantation Joshua C. Grimm, MD, Vicente Valero, MD, Arman.

The Impact of Volume Reduction on Early and Long-Term Outcomes in Surgical Ventricular Restoration for Severe Heart Failure Nathan Wm. Skelley, BS, Jeremiah.

Repair of Truncus Arteriosus and Aortic Arch Interruption: Outcome Analysis Takashi Miyamoto, MD, Nicodème Sinzobahamvya, MD, Daiva Kumpikaite, MD, Boulos.

Left-Sided Reoperations After Arterial Switch Operation: A European Multicenter Study Vladimiro L. Vida, MD, PhD, Lorenza Zanotto, MD, Lucia Zanotto,

Mitral Repair Versus Replacement for Ischemic Mitral Regurgitation

Steve K. Singh, MD, Gilbert H. L. Tang, MD, Manjula D

Creation of a Quantitative Score to Predict the Need for Mechanical Support in Children Awaiting Heart Transplant Ryan R. Davies, MD, Shylah Haldeman,

Reoperation for Coronary Artery Bypass Grafting Surgery: Outcomes and Considerations for Expanding Interventional Procedures Simon Maltais, MD, PhD,

Phillip S. Naimo, BS, Matthew S

Justin P. V. Zachariah, MD, Frank A. Pigula, MD, John E

Domenico Galetta, MD, PhD, Lorenzo Spaggiari, MD, PhD

Esophagectomy for T1 Esophageal Cancer: Outcomes in 100 Patients and Implications for Endoscopic Therapy Arjun Pennathur, MD, Andrew Farkas, BA, Alyssa.

Umar S. Boston, MD, Joseph A. Dearani, MD, Patrick W

Risk of Valve-Related Events After Aortic Valve Repair

Hari Padmanabhan, MRCP, Matthew J. Brookes, PhD, Alan M

Kathleen E. Simpson, MD, Elizabeth Pruitt, MSPH, James K

Presentation transcript:

Total Anomalous Pulmonary Venous Connection: An Analysis of Current Management Strategies in a Single Institution Camille L. Hancock Friesen, MD, David Zurakowski, PhD, Ravi R. Thiagarajan, MD, Joseph M. Forbess, MD, Pedro J. del Nido, MD, John E. Mayer, MD, Richard A. Jonas, MD The Annals of Thoracic Surgery Volume 79, Issue 2, Pages 596-606 (February 2005) DOI: 10.1016/j.athoracsur.2004.07.005 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Intervention and outcomes schema for total anomalous pulmonary venous connection (TAPVC). The clinical course of each patient is stratified according to variables that significantly influenced survival; two ventricles versus one ventricle, obstructed versus unobstructed pulmonary veins, and type of repair. aDenotes 1 patient missing from subsequent analysis as there was no record of the type of repair performed; the patient had single-ventricle anatomy with unobstructed TAPVC and a complex, elective repair, and suffered early mortality. The Annals of Thoracic Surgery 2005 79, 596-606DOI: (10.1016/j.athoracsur.2004.07.005) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Kaplan-Meier estimated survival in total anomalous pulmonary venous connection for the entire cohort of 123 patients. For the entire cohort, Kaplan-Meier estimated 1-month survival is 85% (95% confidence interval [CI], 80% to 90%), 1-year survival is 75% (95% CI, 68% to 83%) and 3-year survival is 73% (95% CI, 66% to 80%). The error bar represents the 95% CI. The Annals of Thoracic Surgery 2005 79, 596-606DOI: (10.1016/j.athoracsur.2004.07.005) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Kaplan-Meier survival in total anomalous pulmonary venous connection for single-ventricle versus two-ventricle patients. For two-ventricle patients (solid circle), the estimated 1-month survival is 95% (95% confidence interval [CI], 90% to 100%), 1-year survival is 89% (95% CI, 84% to 94%) and 3-year survival is 86% (95% CI, 81% to 92%). For one-ventricle patients (open circle), the estimated 1-month survival is 65% (95% CI, 53% to 77%) and 1- and 3-year estimated survival is 47% (95% CI, 35% to 59%). Survival time was significantly shorter in single-ventricle patients (p < 0.0001, log-rank test = 19.68). Error bar represents 95% CI. The Annals of Thoracic Surgery 2005 79, 596-606DOI: (10.1016/j.athoracsur.2004.07.005) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Kaplan-Meier survival in total anomalous pulmonary venous connection for patients with a single ventricle in the presence (open circle) or absence (solid circle) of prerepair pulmonary venous obstruction. Survival in single-ventricle patients was significantly compromised in patients with prerepair pulmonary venous obstruction (p < 0.01, log-rank test = 5.69). Error bars for patients with obstruction represent a 95% confidence interval (CI) of 16% to 46%, and for patients without obstruction, a 95% CI of 54% to 82%. The Annals of Thoracic Surgery 2005 79, 596-606DOI: (10.1016/j.athoracsur.2004.07.005) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions