Evidence map›Paper›PMID 41939821›Full record

ArticleAnnals of pediatric cardiology

A one-and-a-half repair in a pulmonary atresia intact ventricular septum: A more appropriate final repair strategy.

Katsuo Tao, Yuichi Ishikawa, Koichi Sagawa

Abstract read
In one paragraph

Article in Annals of pediatric cardiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Katsuo TaoDepartment of Cardiology, Fukuoka Children's Hospital, Fukuoka, Japan.
Yuichi IshikawaDepartment of Cardiology, Fukuoka Children's Hospital, Fukuoka, Japan.
Koichi SagawaDepartment of Cardiology, Fukuoka Children's Hospital, Fukuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pulmonary atresia with intact ventricular septum (PAIVS) may be unable to compensate for right heart failure in the remote period due to inadequate right ventricular function, even if both ventricular circulations are maintained in the short term. One-and-a-half repairs may have a lower risk of remote right heart failure and severe complications than biventricular repair (BVR). We compared complications and hemodynamics during the medium term for each type of circulatory repair, estimated the risk of right heart failure, and discussed the PAIVS strategy, considering the remote prognosis. Materials and Methods: Of 105 PAIVS patients who underwent surgical intervention at our hospital, we excluded patients who died ( Results: The mean age (range) at the last evaluation was as follows: BVR, 17.5 (2-39) years; one-and-a-half, 28.5 (6-34) years; and Fontan, 14 (3-36) years. The New York Heart Association (NYHA) classification was lowest in the one-and-a-half group (P = 0.06) (NYHA I/II/III: BVR, 11/5/0; one-and-a-half, 6/0/0; Fontan, 65/7/0). The central venous pressure was the lowest in the one-and-a-half group: one-and-a-half, 4 (1-14) mmHg; BVR, 4.5 (1-10) mmHg; and Fontan, 8 [5-15] mmHg. Conclusions: A one-and-a-half repair is a final repair because it offers a safer hemodynamic margin and may also carry a lower risk of long-term right ventricle failure than BVR.

Indexed as

Biventricular repairFontan operationone-and-a-half repairsingle ventricle palliation

Identifiers

PMID41939821
PMCPMC13048699

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