Pulmonary artery growth after palliation of congenital heart disease with duct-dependent pulmonary circulation: arterial duct stenting versus surgical shunt

Journal of the American College of Cardiology
G SantoroR Calabrò

Abstract

The aim of this study was to compare the pulmonary artery (PA) growth after arterial duct (AD) stenting versus modified Blalock-Taussig shunt (MBTS) in neonates with congenital heart disease with duct-dependent pulmonary circulation (CHD-DPC). Arterial duct stenting is increasingly deemed a reliable alternative to surgical shunt in CHD-DPC. A stented duct might better adapt to the PA anatomy than a surgical conduit, thereby promoting a more uniform PA development. This study enrolled 27 patients with CHD-DPC submitted to AD stenting (n = 13, Group I) or MBTS (n = 14, Group II) at our institution. The PA growth was angiographically assessed with the Nakata and McGoon indexes as well as the individual PA z-scores. The right-to-left PA diameter ratio was considered as index of uniform growth. After 10 +/- 5 months, both options had promoted a significant increase of the Nakata index (from 136 +/- 72 mm/m(2) to 294 +/- 99 mm/m(2), p < 0.0001, Group I; from 151 +/- 74 mm/m(2) to 295 +/- 177 mm/m(2), p < 0.003, Group II) and McGoon ratio (from 1.5 +/- 0.3 to 2.1 +/- 0.3, p < 0.0001, Group I; from 1.6 +/- 0.3 to 2.0 +/- 0.5, p < 0.01, Group II). However, the surgical shunt had caused a worsening of the left-to-right PA diameter ratio ...Continue Reading

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Citations

Feb 1, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ender OdemisIhsan Bakir
Jun 14, 2013·Seminars in Fetal & Neonatal Medicine·Dietmar Schranz, Ina Michel-Behnke
Nov 15, 2013·Circulation·Therese M GigliaUNKNOWN American Heart Association Congenital Heart Defects Committee of the Council on Cardiovascular Disease in the Young, Council
Dec 29, 2018·Paediatric Anaesthesia·Dima G DaaboulViviane G Nasr
Apr 10, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Giuseppe SantoroMaria Giovanna Russo
May 3, 2012·Congenital Heart Disease·Kothandam SivakumarPrasad Krishnan
May 4, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Giuseppe SantoroRaffaele Calabrò
Apr 26, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Colm R BreatnachDamien Kenny
Nov 20, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ahmet CelebiSevket Balli
Jul 18, 2017·Pediatric Cardiology·Giuseppe SantoroMaria Giovanna Russo
Nov 24, 2020·Cardiology in the Young·Mariam ZaidiAmer Harky
Nov 23, 2019·Archives of Cardiovascular Diseases·Estibaliz ValdeomillosUNKNOWN Filiale de cardiologie pédiatrique et congénitale de la Société française de cardiologie
Aug 25, 2010·Current Opinion in Pediatrics·Matthew A Crystal, Frank F Ing
Mar 10, 2021·Circulation. Cardiovascular Interventions·Kanishka RatnayakaHowaida G El-Said
Sep 21, 2021·The Egyptian Heart Journal : (EHJ) : Official Bulletin of the Egyptian Society of Cardiology·Saud BahaidarahGaser Abdelmohsen

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