Hemodynamic parameters predict adverse outcomes following biventricular conversion with single-ventricle palliation takedown

The Journal of Thoracic and Cardiovascular Surgery
Melissa A HerrinSitaram M Emani

Abstract

Patients with a borderline left ventricular hypoplasia in the hypoplastic left heart syndrome variant or an unbalanced atrioventricular canal who undergo initial single-ventricle palliation may be candidates for biventricular (BiV) conversion following left ventricle (LV) recruitment procedures. We investigated associations among preoperative parameters and postoperative outcomes in patients undergoing BiV conversion. We performed a retrospective review of patients who underwent BiV conversion to determine variables associated with clinical outcomes. Predictor variables included cardiac diagnosis, age and weight, LV dimension, LV end diastolic volume, LV mass, preoperative LV end diastolic pressure (LVEDP), and preoperative left atrial pressure. Primary outcome was a composite of death, heart transplant, or BiV takedown. Of 51 patients, 11 experienced primary outcome (22%). Patients with hypoplastic left heart syndrome variant were more likely to experience primary outcome than those with an unbalanced atrioventricular canal (30% vs 6%; P = .03). Receiver operating characteristic analysis demonstrated that preoperative LVEDP had good predictive accuracy in classifying patients with and without the primary outcome (area under th...Continue Reading

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Citations

Apr 6, 2017·The Journal of Thoracic and Cardiovascular Surgery·Ralph E Delius
Aug 10, 2020·Current Cardiology Reports·Nicholas D AndersenJoseph W Turek
Apr 19, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Yves d'UdekemTom R Karl
Jan 25, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Meena NathanPedro J Del Nido
Feb 7, 2021·Interactive Cardiovascular and Thoracic Surgery·Vladimir SojakMark Hazekamp
Feb 16, 2021·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Manan Desai
Feb 20, 2021·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Gopalraj S SunilRaman Krishna Kumar
Mar 31, 2021·Journal of Cardiac Surgery·Christopher GreenleafJorge D Salazar
May 29, 2021·The Journal of Thoracic and Cardiovascular Surgery·Ilias P DoulamisSitaram M Emani
May 18, 2021·Seminars in Thoracic and Cardiovascular Surgery·Jae Gun KwakSitaram M Emani
Nov 30, 2021·Journal of Cardiac Surgery·Antonio F CornoJorge D Salazar

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