Relationship Between Aortic Root Enlargement and Pulmonary Blood Flow in Pulmonary Atresia With Major Aortopulmonary Collateral Arteries.

Richard D Mainwaring, Nicole M Jacobs, Raj Punn, Pooja Punn, Alisa Arunamata, Frank L Hanley

Abstract read

In one paragraph

Article in Annals of thoracic surgery short reports, 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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0citing 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

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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

6 authors.

Richard D MainwaringDivision of Pediatric Cardiac Surgery, Stanford University School of Medicine, Lucile Packard Children's Hospital Stanford, Stanford, California.

Nicole M JacobsDivision of Pediatric Cardiac Surgery, Stanford University School of Medicine, Lucile Packard Children's Hospital Stanford, Stanford, California.

Raj PunnDivision of Pediatric Cardiac Surgery, Stanford University School of Medicine, Lucile Packard Children's Hospital Stanford, Stanford, California.

Pooja PunnDivision of Pediatric Cardiac Surgery, Stanford University School of Medicine, Lucile Packard Children's Hospital Stanford, Stanford, California.

Alisa ArunamataDivision of Pediatric Cardiac Surgery, Stanford University School of Medicine, Lucile Packard Children's Hospital Stanford, Stanford, California.

Frank L HanleyDivision of Pediatric Cardiac Surgery, Stanford University School of Medicine, Lucile Packard Children's Hospital Stanford, Stanford, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries (PA/VSD/MAPCAs) have markedly enlarged aortas compared with standard control subjects. Previous studies have suggested that aortic enlargement may be attributable to a combination of increased flow and intrinsic aortopathy. We hypothesized that aortic sizes in patients with PA/VSD/MAPCAs would correlate with the ratio of pulmonary to systemic blood flow (Q Methods: This was a retrospective review of 169 patients with PA/VSD/MAPCAs who underwent a surgical procedure. Echocardiographic studies were reviewed to assess aortic root size and z-scores. The Q Results: Median age at surgery was 6.1 months for the single-stage complete repair group, 5.9 months for the unifocalization and shunt group, and 1.9 months for the aortopulmonary window group. Patients who underwent a single-stage complete repair had higher Q Conclusions: The data demonstrate that there were 3 distinct anatomic and physiologic patterns for the 3 subgroups. Within each subgroup, no correlation was found between Q

Identifiers

PMID42267013

DOI10.1016/j.atssr.2025.11.006

PMCPMC13245354

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