Hybrid versus Norwood strategies for single-ventricle palliation

Circulation
Kenji BabaOsami Honjo

Abstract

Hybrid and Norwood strategies differ substantially in terms of stage II palliative procedures. We sought to compare these strategies with an emphasis on survival and reintervention after stage II and subsequent Fontan completion. Of 110 neonates with functionally single-ventricle physiology who underwent stage I palliation between 2004 and 2010, 75 (69%) infants (Norwood, n=43; hybrid, n=32) who subsequently underwent stage II palliation were studied. Survival and reintervention rates after stage II palliation, anatomic and physiologic variables at pre-Fontan assessment, and Fontan outcomes were compared between the groups. Predictors for reintervention were analyzed. Freedom from death/transplant after stage II palliation was equivalent between the groups (Norwood, 80.4% versus hybrid, 85.6% at 3 years, P=0.66). Hybrid patients had a higher pulmonary artery (PA) reintervention rate (P=0.003) and lower Nakata index at pre-Fontan evaluation (P=0.015). Aortic arch and atrioventricular valve reinterventions were not different between the groups. Ventricular end-diastolic pressure, mean PA pressure, and ventricular function were equivalent at pre-Fontan assessment. There were no deaths after Fontan completion in either group (Norwo...Continue Reading

Citations

Jan 15, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hitendu DaveOliver Kretschmar
Dec 7, 2013·General Thoracic and Cardiovascular Surgery·Yorikazu Harada
Apr 22, 2014·The Journal of Thoracic and Cardiovascular Surgery·Matteo TrezziScott M Bradley
Jan 30, 2014·The Journal of Thoracic and Cardiovascular Surgery·Noritaka OtaKisaburo Sakamoto
May 22, 2013·Seminars in Fetal & Neonatal Medicine·Mats Mellander
Jun 14, 2013·Seminars in Fetal & Neonatal Medicine·Dietmar Schranz, Ina Michel-Behnke
Apr 19, 2015·The Annals of Thoracic Surgery·Daniel J DiBardinoHowaida El-Said
Nov 28, 2013·The Journal of Thoracic and Cardiovascular Surgery·Ryan R DaviesChristian Pizarro
Dec 15, 2015·The Journal of Thoracic and Cardiovascular Surgery·Mark Galantowicz, Andrew R Yates
Nov 26, 2015·The Journal of Thoracic and Cardiovascular Surgery·Sanjiv K Gandhi
Apr 3, 2016·Congenital Heart Disease·Elizabeth A MitchellClifford L Cua
Dec 26, 2015·The Journal of Thoracic and Cardiovascular Surgery·Can YerebakanHakan Akintuerk
Dec 20, 2015·The Journal of Thoracic and Cardiovascular Surgery·Ralph S Mosca
Jun 10, 2015·The Journal of Thoracic and Cardiovascular Surgery·Mohamed S NassarTarique Hussain
Jul 25, 2015·The Journal of Thoracic and Cardiovascular Surgery·Matteo TrezziAdriano Carotti
Nov 26, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Amir-Reza Hosseinpour
Jan 18, 2015·The Journal of Thoracic and Cardiovascular Surgery·Otto RahkonenKyong-Jin Lee
Jan 30, 2015·The Journal of Thoracic and Cardiovascular Surgery·Sanjiv K Gandhi
Oct 13, 2015·Revista chilena de pediatría·Gonzalo UrcelayPedro Becker
Dec 17, 2014·Heart·Peter C Kahr, Gerhard-Paul Diller
Jul 4, 2016·The Journal of Thoracic and Cardiovascular Surgery·Osami Honjo
Sep 28, 2016·The Journal of Thoracic and Cardiovascular Surgery·Travis J WilderUNKNOWN Congenital Heart Surgeons' Society
Nov 8, 2016·The Journal of Thoracic and Cardiovascular Surgery·Osami HonjoGlen S Van Arsdell
Dec 22, 2016·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Sebastian GorecznyTomasz Moszura
May 10, 2013·Seminars in Cardiothoracic and Vascular Anesthesia·Michael ShillingfordMark Bleiweis
Dec 31, 2015·World Journal for Pediatric & Congenital Heart Surgery·Ignacio JuanedaChristian Kreutzer
Mar 17, 2018·World Journal for Pediatric & Congenital Heart Surgery·Jacob Y CaoDavid S Winlaw
Aug 11, 2018·Congenital Heart Disease·Matthew W BuelowGarick Hill
Apr 15, 2017·Circulation Research·Hidemasa Oh
Oct 20, 2018·Pediatrics International : Official Journal of the Japan Pediatric Society·Yosuke FukushimaShinichi Otsuki
Dec 4, 2017·Critical Care Nurse·Cecilia St George-HyslopLinda G Fazari
Jan 20, 2017·Seminars in Cardiothoracic and Vascular Anesthesia·Draginja CvetkovicYoumna DiStefano
Jul 19, 2016·Pediatric Cardiology·Jeffrey MooreRichard Fernandez
Mar 22, 2020·Pediatric Cardiology·Mark Galantowicz
Nov 6, 2013·Nature Reviews. Cardiology·Emile Bacha, David Kalfa
Mar 23, 2017·Frontiers in Surgery·Aamisha Gupta, Zahid Amin
Nov 23, 2019·Archives of Cardiovascular Diseases·Estibaliz ValdeomillosUNKNOWN Filiale de cardiologie pédiatrique et congénitale de la Société française de cardiologie
Jun 30, 2019·The Journal of Thoracic and Cardiovascular Surgery·Christopher E MascioThomas L Spray

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