Evidence map›Paper›PMID 38874063›Full record

SynthesisJournal of the American Heart Association2024

Outcomes Following Surgical Repair of Sinus Venosus Atrial Septal Defects: A Systematic Review and Meta-Analysis.

Ryaan El-Andari, Muhammad Moolla, Kevin John, Ashley Slingerland, Sandra Campbell, Jeevan Nagendran, Yongzhe Hong, Anoop Mathew

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

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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

8 authors.

Ryaan El-AndariDivision of Cardiac Surgery, Department of Surgery, Mazankowski Alberta Heart Institute University of Alberta Edmonton Alberta Canada.ORCID 0000-0001-7146-4337
Muhammad MoollaDivision of Cardiology, Department of Medicine, Mazankowski Alberta Heart Institute University of Alberta Edmonton Alberta Canada.ORCID 0000-0002-8060-7114
Kevin JohnDivision of Internal Medicine, Department of Medicine Tufts University Medford MA USA.ORCID 0000-0003-3382-0294
Ashley SlingerlandFaculty of Medicine and Dentistry University of Alberta Edmonton Alberta Canada.ORCID 0009-0003-7056-5226
Sandra CampbellUniversity of Alberta Library Edmonton Alberta Canada.ORCID 0000-0002-9347-3880
Jeevan NagendranDivision of Cardiac Surgery, Department of Surgery, Mazankowski Alberta Heart Institute University of Alberta Edmonton Alberta Canada.ORCID 0000-0002-2050-6717
Yongzhe HongDivision of Cardiac Surgery, Department of Surgery, Mazankowski Alberta Heart Institute University of Alberta Edmonton Alberta Canada.ORCID 0000-0003-0232-2014
Anoop MathewDivision of Cardiology, Department of Medicine, Mazankowski Alberta Heart Institute University of Alberta Edmonton Alberta Canada.ORCID 0000-0002-0302-1419

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSinus venosus atrial septal defect (SVASD) is a rare congenital cardiac anomaly comprising 5% to 10% of all atrial septal defects. Although surgical closure is the standard treatment for SVASD, data on outcomes have been confined to small cohorts. Thus, we conducted a systematic review of the outcomes of SVASD repair. METHODS AND

resultsThe primary outcome was death. Secondary outcomes encompassed atrial fibrillation, sinus node dysfunction, pacemaker insertion, cerebrovascular accident, reoperation, residual septal defect, superior vena cava obstruction, and reimplanted pulmonary vein obstruction. Pooled incidences of outcomes were calculated using a random-effects model. Forty studies involving 1320 patients who underwent SVASD repair were included. The majority were male patients (55.4%), with 88.0% presenting with associated anomalous pulmonary venous connection. The weighted mean age was 18.6±12.5 years, and the overall weighted mean follow-up period was 8.6±10.4 years. The in-hospital mortality rate was 0.24%, with a 30-day mortality rate of 0.5% reported in 780 patients. Incidences of atrial fibrillation, sinus node dysfunction, pacemaker insertion, and cerebrovascular accident over the long-term follow-up were 3.3% (2.18%-4.93%), 6.5% (5.09%-8.2%), 2.23% (1.34%-3.57%), and 2.03% (0.89%-2.46%) respectively. Reoperation occurred in 1.36% (0.68%-2.42%) of surgeries, residual septal defect in 1.34% (0.69%-2.42%), superior vena cava obstruction in 1.76% (1.02%-2.9%), and reimplanted pulmonary vein obstruction in 1.4% (0.7%-2.49%).

conclusionsThis is the first comprehensive analysis of outcomes following surgical repair of SVASD. The findings affirm the safety and effectiveness of surgery, establishing a reference point for evaluating emerging transcatheter therapies. Safety and efficacy profiles comparable to surgical repair are essential for widespread adoption of transcatheter treatments.

Indexed as

Cardiac Surgical ProceduresHeart Septal Defects, AtrialAdolescentAdultChildFemaleHospital MortalityHumansMalePostoperative ComplicationsTreatment OutcomeYoung Adultheart septal defects, atrialoutcome assessment, health caresinus venosus atrial septal defectsurgery

Identifiers

PMID38874063
PMCPMC11255747

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.