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Pulmonary Artery and Conduit Reintervention Rates After Norwood Using a Right Ventricle to Pulmonary Artery Conduit  Carlos M. Mery, MD, MPH, Damien J.

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Presentation on theme: "Pulmonary Artery and Conduit Reintervention Rates After Norwood Using a Right Ventricle to Pulmonary Artery Conduit  Carlos M. Mery, MD, MPH, Damien J."— Presentation transcript:

1 Pulmonary Artery and Conduit Reintervention Rates After Norwood Using a Right Ventricle to Pulmonary Artery Conduit  Carlos M. Mery, MD, MPH, Damien J. LaPar, MD, Michael D. Seckeler, MD, Rebecca S. Chamberlain, NP, James J. Gangemi, MD, Irving L. Kron, MD, Benjamin B. Peeler, MD  The Annals of Thoracic Surgery  Volume 92, Issue 4, Pages (October 2011) DOI: /j.athoracsur Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Surgical technique for construction of the Norwood procedure with right ventricle to pulmonary artery conduit. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Overall survival for the entire cohort after the Norwood procedure. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Interstage attrition and progression for the overall cohort. Each bar represents the total number of patients who underwent each of the stages of palliation. The bar is divided into segments illustrating the number of patients who progressed to the next stage (white areas), patients who died in between stages, namely, interstage deaths (black areas), and patients who are still alive (gray areas) after that particular procedure but have not advanced to the next stage. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 (A) Axial cut of an magnetic resonance image of the heart on a patient after a Norwood procedure shows significant anterior tenting of the confluence of the pulmonary artery (PA) (arrow) by the right ventricle to PA (RV-PA) conduit (arrow-head indicates proximal end of the conduit; asterisk indicates proximal PA and aorta forming the neoaorta). (B) Cardiac catheterization of the same patient before the second-stage procedure shows the tenting of the PA as seen on magnetic resonance imaging. (C) Cardiac catheterization after the Glenn procedure with division of the conduit shows almost complete resolution of the tenting of the PA. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

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