Presentation is loading. Please wait.

Presentation is loading. Please wait.

Pulmonary flow study predicts survival in pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries  Jiaquan Zhu,

Published byΛαυρέντιος Τομαραίοι Modified over 5 years ago

Similar presentations

Presentation on theme: "Pulmonary flow study predicts survival in pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries  Jiaquan Zhu,"— Presentation transcript:

1 Pulmonary flow study predicts survival in pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries  Jiaquan Zhu, MD, PhD, James Meza, MD, Atsuko Kato, MD, Arezou Saedi, MD, Devin Chetan, MD, Rachel Parker, BScH, Christopher A. Caldarone, MD, Brian W. McCrindle, MD, MPH, Glen S. Van Arsdell, MD, Osami Honjo, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 152, Issue 6, Pages e1 (December 2016) DOI: /j.jtcvs Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Flowchart of surgical strategy. The number in the bracket represents number of deaths. PA, Pulmonary atresia; VSD, ventricular septal defect; MAPCAs, major aortopulmonary collateral arteries. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Relationship between ventricular septal defect (VSD) status and mean pulmonary artery pressure (PAP) (n = 40) (A) and total neo-pulmonary artery index (TNPAI) (n = 38) (B). The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Overall survival (A) and survival stratified by mean pulmonary artery pressure (PAP) on the flow study (B). The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

5 Figure 4 Histogram demonstrating distribution of mean pulmonary artery pressure (PAP) on the flow study and death at any point during the study. VSD, Ventricular septal defect. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

6 Figure 5 Correlation between the latest right ventricular systolic pressure/left ventricular systolic pressure (RVSP/LVSP) ratio and mean pulmonary artery pressure (PAP) on the flow study (A) or baseline total neo-pulmonary artery index (TNPAI) (B) (n = 17). The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

7 A high mean PAP (≥25 mm Hg) on a flow study is associated with poor medium-term survival.
The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

8 The Journal of Thoracic and Cardiovascular Surgery 2016 152, 1494-1503
The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Download ppt "Pulmonary flow study predicts survival in pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries  Jiaquan Zhu,"

Similar presentations

Repair Type Influences Mode of Pulmonary Vein Stenosis in Total Anomalous Pulmonary Venous Drainage  Mauro Lo Rito, MD, Tamadhir Gazzaz, MD, Travis Wilder,

Repair Type Influences Mode of Pulmonary Vein Stenosis in Total Anomalous Pulmonary Venous Drainage  Mauro Lo Rito, MD, Tamadhir Gazzaz, MD, Travis Wilder,
Max B. Mitchell, MD  The Journal of Thoracic and Cardiovascular Surgery 

Max B. Mitchell, MD  The Journal of Thoracic and Cardiovascular Surgery 
Manuel J. Antunes, MD, PhD, DSc 

Manuel J. Antunes, MD, PhD, DSc 
T.K. Susheel Kumar, MD, Christopher J. Knott-Craig, MD 

T.K. Susheel Kumar, MD, Christopher J. Knott-Craig, MD 
Chetan Pasrija, MD, Michael A. Mazzeffi, MD, MPH, Zachary N. Kon, MD 

Chetan Pasrija, MD, Michael A. Mazzeffi, MD, MPH, Zachary N. Kon, MD 
Dead-space or dead-end: Can prolonged mechanical ventilation be predicted in all children after unifocalization?  Tyson A. Fricke, MBBS, BMedSci, Igor.

Dead-space or dead-end: Can prolonged mechanical ventilation be predicted in all children after unifocalization?  Tyson A. Fricke, MBBS, BMedSci, Igor.
Mitral stenosis with pulmonary hypertension: We should operate early

Mitral stenosis with pulmonary hypertension: We should operate early
A rare triple threat: Rat bite fever, endocarditis of ventricular septal defect patch, and multivalve endocarditis with sinus of Valsalva fistula  Meena.

A rare triple threat: Rat bite fever, endocarditis of ventricular septal defect patch, and multivalve endocarditis with sinus of Valsalva fistula  Meena.
Balancing pulmonary blood flow: Theory, in vitro measurements, and clinical correlation of systemic-to-pulmonary shunt banding  Cori R. Atlin, MD, Christoph.

Balancing pulmonary blood flow: Theory, in vitro measurements, and clinical correlation of systemic-to-pulmonary shunt banding  Cori R. Atlin, MD, Christoph.
Pulmonary atresia with ventricular septal defects and major aortopulmonary collateral arteries: Unifocalization brings no long-term benefits  Yves d'Udekem,

Pulmonary atresia with ventricular septal defects and major aortopulmonary collateral arteries: Unifocalization brings no long-term benefits  Yves d'Udekem,
Heart–lung transplantation in patients with pulmonary atresia and ventricular septal defect  Katarzyna Januszewska, MD, PhD, Edward Malec, MD, PhD, Gerd.

Heart–lung transplantation in patients with pulmonary atresia and ventricular septal defect  Katarzyna Januszewska, MD, PhD, Edward Malec, MD, PhD, Gerd.
Long-term results of pulmonary artery rehabilitation in patients with pulmonary atresia, ventricular septal defect, pulmonary artery hypoplasia, and major.

Long-term results of pulmonary artery rehabilitation in patients with pulmonary atresia, ventricular septal defect, pulmonary artery hypoplasia, and major.
Anatomic repair for congenitally corrected transposition of the great arteries: A single- institution 19-year experience  Bari Murtuza, MD, PhD, David.

Anatomic repair for congenitally corrected transposition of the great arteries: A single- institution 19-year experience  Bari Murtuza, MD, PhD, David.
The influence of systemic hemodynamics and oxygen transport on cerebral oxygen saturation in neonates after the Norwood procedure  Jia Li, MD, PhD, Gencheng.

The influence of systemic hemodynamics and oxygen transport on cerebral oxygen saturation in neonates after the Norwood procedure  Jia Li, MD, PhD, Gencheng.
Mauro Lo Rito, MD, Tamadhir Gazzaz, MD, Travis J. Wilder, MD, Rachel D

Mauro Lo Rito, MD, Tamadhir Gazzaz, MD, Travis J. Wilder, MD, Rachel D
Personalized cardiac surgery: Can noninvasive flow imaging lead to individualized resection strategies for bicuspid aortopathy?  Nicholas D. Andersen,

Personalized cardiac surgery: Can noninvasive flow imaging lead to individualized resection strategies for bicuspid aortopathy?  Nicholas D. Andersen,
Pulmonary hypertension in valve disease: A beast of the past?

Pulmonary hypertension in valve disease: A beast of the past?
Surgical repair of multiple muscular ventricular septal defects: The role of re- endocardialization strategy  Bahaaldin Alsoufi, MD, Tara Karamlou, MD,

Surgical repair of multiple muscular ventricular septal defects: The role of re- endocardialization strategy  Bahaaldin Alsoufi, MD, Tara Karamlou, MD,
The impact of additional epicardial imaging to transesophageal echocardiography on intraoperative detection of residual lesions in congenital heart surgery 

The impact of additional epicardial imaging to transesophageal echocardiography on intraoperative detection of residual lesions in congenital heart surgery 
Outcomes of Different Surgical Strategies in the Treatment of Neonates with Aortic Coarctation and Associated Ventricular Septal Defects  Bahaaldin Alsoufi,

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

Similar presentations

Ads by Google