Evidence map›Paper›PMID 42079951›Full record

ArticleJTCVS open2026

Decades of single-center experience in managing 274 double-outlet right ventricle patients: Biventricular repair suitable for more complex forms?

Justin Robinson, Anish Katta, Praise Chovwen, Shivni Patel, Ruchika Kamojjala, Ayman Alrazim, Hani K Najm, Robert Stewart, Tara Karamlou

Abstract read
In one paragraph

Article in JTCVS open, 2026. 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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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Justin RobinsonDepartment of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio.
Anish KattaCase Western Reserve University School of Medicine, Cleveland, Ohio.
Praise ChovwenDepartment of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio.
Shivni PatelCase Western Reserve University School of Medicine, Cleveland, Ohio.
Ruchika KamojjalaCase Western Reserve University School of Medicine, Cleveland, Ohio.
Ayman AlrazimDepartment of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio.
Hani K NajmDepartment of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio.
Robert StewartDepartment of Pediatric Cardiac Surgery, Akron Children's and Cincinnati Children's Hospital, Akron, Ohio.
Tara KaramlouDepartment of Pediatric Cardiac Surgery, Akron Children's and Cincinnati Children's Hospital, Akron, Ohio.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the long-term outcomes of double-outlet right ventricle (DORV), focusing on identifying specific subtypes capable of achieving successful biventricular repair (BVR) with favorable results. Methods: A retrospective review was conducted of 274 DORV patients followed at a single center from 1999 to 2023. After exclusions, 238 patients were analyzed, including 97 who underwent single ventricle palliation (SVP) and 141 who underwent BVR. Outcomes were assessed using Kaplan-Meier survival and freedom from reintervention estimates, with competing risk analysis for survival, transplantation, or death. Results: The median follow-up was 11.9 years. Subaortic and subpulmonary ventricular septal defects (VSDs) were more common in the BVR group, while noncommitted VSDs and features suggestive of heterotaxy (eg, persistent left superior vena cava, complete atrioventricular septal defect) were more frequent in SVP. BVR tended toward improved transplantation-free survival (8% vs 16% for transplantation or death; Conclusions: Our study shows that BVR was associated with improved outcomes compared to SVP, including higher survival rates and lower rates of both mortality and transplantation,. Decades of experience at our institution demonstrates the feasibility of BVR in complex DORV subtypes, such as noncommitted and subpulmonary VSD.

Indexed as

biventricular repaircongenital heart diseasedouble-outlet right ventricleoutcomessingle ventricle repairVSD

Identifiers

PMID42079951
PMCPMC13131150

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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.