Evidence map›Paper›PMID 24758411›Full record

ReviewExpert review of cardiovascular therapy2014

Pulmonary arteriovenous malformations after the superior cavopulmonary shunt: mechanisms and clinical implications.

Minoo N Kavarana, Jeffrey A Jones, Robert E Stroud, Scott M Bradley, John S Ikonomidis, Rupak Mukherjee

Open access · greenAbstract readReview
In one paragraph

Review in Expert review of cardiovascular therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 65 citations in OpenAlex.

  1. Vitamin A Uses Its Superpowers to Combat Vascular Malformations.JACC. Basic to translational science · 2026
    Article
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  12. Collaterals in congenital heart disease: when and how to treat?Cardiovascular diagnosis and therapy · 2023
    Review
  13. Article
  14. Article
  15. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Minoo N KavaranaSection of Pediatric Cardiothoracic Surgery, Department of Surgery, Medical University of South Carolina, 96 Jonathan Lucas Street, Charleston, SC 29425, USA.
Jeffrey A Jones
Robert E Stroud
Scott M Bradley
John S Ikonomidis
Rupak Mukherjee
Medical University of South Carolina · US

Funding

Transmembrane Proteolytic Induction and Thoracic AneurysmsR01HL102121 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI IKONOMIDIS, JOHN S · 2011 to 2019
$3.0M
Age-Dependent Mechanisms in Thoracic Aortic AneurysmsR01AG036954 · NIA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI IKONOMIDIS, JOHN S · 2011 to 2015
$1.5M
Transforming Growth Factor-beta Signaling Pathways in Thoracic Aortic AneurysmsI01BX000904 · VA · RALPH H JOHNSON VA MEDICAL CENTER · PI JONES, JEFFREY A. · 2011 to 2023
–
BLRD VA I01 BX000904NHLBI NIH HHS R01 HL102121NIA NIH HHS R01 AG036954
6 · The paper itself

Abstract

Children with functional single ventricle heart disease are commonly palliated down a staged clinical pathway toward a Fontan completion procedure (total cavopulmonary connection). The Fontan physiology is fraught with long-term complications associated with lower body systemic venous hypertension, eventually resulting in significant morbidity and mortality. The bidirectional Glenn shunt or superior cavopulmonary connection (SCPC) is commonly the transitional stage in single ventricle surgical management and provides excellent palliation. Some studies have demonstrated lower morbidity and mortality with the SCPC when compared with the Fontan. Unfortunately the durability of the SCPC is significantly limited by the development of pulmonary arteriovenous malformations (PAVMs) which have been commonly attributed to the absence of hepatic venous blood flow and the lack of pulsatile flow to the affected lungs. Abnormal angiogenesis has been suggested as a final common pathway to PAVM development. Understanding these fundamental mechanisms through the investigation of angiogenic pathways associated with the pathogenesis of PAVMs would help to develop medical therapies that could prevent or reverse this complication following SCPC. Such therapies could improve the longevity of the SCPC, potentially eliminate or significantly postpone the Fontan completion with its associated complications, and improve long-term survival in children with single ventricle disease.

Indexed as

AnimalsArteriovenous FistulaChildFontan ProcedureHeart Bypass, RightHeart DiseasesHeart VentriclesHumansPostoperative ComplicationsPulmonary ArteryPulmonary VeinsSurvivalangiogenesiscavopulmonary connectioncongenital heart diseaseFontan operationpulmonary arteriovenous malformationssingle ventriclesuperior

Identifiers

PMID24758411
PMCPMC4410694
OpenAlexW2120284371

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.