Abstract
Truncus arteriosus is associated with coronary anomalies. We identified coronary artery lesions in patients undergoing repair of truncus arteriosus, defined the impact of lesions on mortality, and studied the effect of surgical intervention of coronary lesions. A retrospective review identified 107 patients with truncus repair (1995-2019). Coronary lesions were categorized as ostial stenosis, intramural, juxtacommissural origin, and single coronary. Survival analysis characterized survival after truncus repair and studied the association of coronary lesions and mortality. Among 107 patients with truncus repair 34 patients had at least 1 coronary lesion. Median follow-up time was 7 years, with 85% 5-year survival. Coronary lesions including ostial stenosis, intramurality, and juxtacommissural origin were associated with increased mortality, whereas single coronaries did not impact survival. Eleven patients had 1 coronary lesion and 6 patients with 2 coronary lesions had similar (80% and 83%, respectively) 5-year survival. Eight patients with 3 coronary lesions had 24% 5-year survival (P = .0003). Among patients with 1 or 2 lesions, surgical intervention on the coronary lesions tended to be associated with longer 5-year survival ...Continue Reading
References
Jan 1, 1979·Radiology·M J LiptonL Wexler
Jun 28, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·C SchreiberR Lange
Jun 26, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M H DantonW J Brawn
Jul 21, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·J W BrownM W Turrentine
Feb 6, 2002·The Journal of Thoracic and Cardiovascular Surgery·Ing-Sh ChiuJou-Kou Wang
Nov 18, 2011·The Annals of Thoracic Surgery·Hyde M RussellCarl L Backer
Nov 26, 2011·The Annals of Thoracic Surgery·Jeffrey Phillip JacobsConstantine Mavroudis
Jan 22, 2013·Cardiology in the Young·Robert H AndersonAnthony J Hlavacek
Jan 17, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Richard D MainwaringFrank L Hanley
Sep 4, 2016·The Annals of Thoracic Surgery·Jeffrey P JacobsMarshall L Jacobs
Jan 4, 2017·Seminars in Thoracic and Cardiovascular Surgery·Phillip S NaimoIgor E Konstantinov
Oct 28, 2017·The Journal of Thoracic and Cardiovascular Surgery·Carlos M MeryCharles D Fraser
Dec 14, 2017·The Annals of Thoracic Surgery·Richard S D'AgostinoDavid M Shahian
Jan 31, 2019·The Annals of Thoracic Surgery·Jason R BuckleyUNKNOWN Collaborative Research in Pediatric Cardiac Intensive Care Investigators