Ventricular function deteriorates with recurrent coarctation in hypoplastic left heart syndrome.

The Annals of Thoracic Surgery
Luis Alesandro LarrazabalEmile A Bacha

Abstract

Recurrent coarctation (re-CoA) after stage I palliation in hypoplastic left heart syndrome (HLHS) is deleterious. We studied whether re-CoA had an effect on ventricular systolic function. Retrospectively reviewed were HLHS patients surviving stage I Norwood palliation (stage I) and cavopulmonary shunt (CPS) between January 2004 and February 2007. Echocardiographic right ventricular fractional area change (RV-FAC) was used to evaluate ventricular systolic function after stage I, before CPS, and before Fontan procedures. Cardiac catheterization and magnetic resonance imaging data before CPS were reviewed to assess re-CoA, using a coarctation index (CI = isthmus diameter/descending aortic diameter). Fifty-one patients were included, and 21 had a CI of less than 0.75 (mean, 0.82 +/- 0.19; 21). Twelve patients required arch balloon dilation between CPS and Fontan. The change of RV-FAC for all patients between stage I and CPS was -2.2% +/- 9.6%. Pearson correlation coefficient demonstrated a significant correlation between lower CI values and lower RV-FAC at the pre-CPS echocardiogram (r = .35, p = 0.03); and lower CI values and greater decrease in RV-FAC between stage I and pre-CPS evaluation (r = 0.40, p = 0.018). At follow-up pre-...Continue Reading

References

Sep 1, 1991·The Annals of Thoracic Surgery·R D SiewersP J del Nido
Dec 10, 1999·The Annals of Thoracic Surgery·G GargiuloA Pierangeli
Mar 1, 1997·Echocardiography·Leng JiangArthur E. Weyman
Jun 7, 2005·Journal of the American College of Cardiology·Ilana ZeltserJonathan J Rome
Feb 21, 2006·The Annals of Thoracic Surgery·Brian M CardisWilliam T Mahle
Jan 24, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Riad B M HoseinWilliam J Brawn
May 30, 2007·The Journal of Thoracic and Cardiovascular Surgery·Victor Bautista-HernandezPedro J del Nido
Oct 29, 2008·The Journal of Thoracic and Cardiovascular Surgery·Emile A BachaPedro J del Nido

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Citations

Nov 26, 2010·Pediatric Cardiology·Shanthi SivanandamJames H Moller
Nov 22, 2011·Pediatric Cardiology·Matthew J O'ConnorMichael D Quartermain
Jun 5, 2012·Pediatric Cardiology·Julia FischbachJoachim Photiadis
Dec 14, 2011·Cardiology in the Young·Jacqueline KreutzerJonathan J Rome
Mar 19, 2014·The Journal of Thoracic and Cardiovascular Surgery·Giovanni BiglinoUNKNOWN Modeling of Congenital Hearts Alliance Collaborative Group
Jun 8, 2014·The Annals of Thoracic Surgery·Chiara CorsiniUNKNOWN MOCHA Collaborative Group
Jun 21, 2013·The Annals of Thoracic Surgery·Andrew M WaltersGeorge M Alfieris
Aug 21, 2010·The Journal of Thoracic and Cardiovascular Surgery·Jean A BallwegChitra Ravishankar
Apr 2, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Shelby KuttyEvan M Zahn
Sep 13, 2011·The Journal of Thoracic and Cardiovascular Surgery·Keiichi ItataniMitsuo Umezu
Oct 4, 2012·The Journal of Thoracic and Cardiovascular Surgery·Giovanni BiglinoUNKNOWN Modeling of Congenital Hearts Alliance (MOCHA) Collaborative Group
Sep 7, 2016·The Annals of Thoracic Surgery·Jan L BruseUNKNOWN Modeling of Congenital Hearts Alliance (MOCHA) Collaborative Group
Aug 12, 2017·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Osamah AldossJeffrey D Zampi
Oct 4, 2012·Clinical Medicine Insights. Cardiology·Satoshi MasutaniHideaki Senzaki
Mar 18, 2019·Interactive Cardiovascular and Thoracic Surgery·Satoshi AsadaHitoshi Yaku
Oct 20, 2017·Interactive Cardiovascular and Thoracic Surgery·Shohei MiyazakiNaoki Yoshimura
Nov 20, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Tomasz MroczekJanusz H Skalski
Jan 24, 2019·The Journal of Thoracic and Cardiovascular Surgery·Paul J DevlinTara Karamlou
Mar 4, 2021·The Journal of Thoracic and Cardiovascular Surgery·Michal SchäferMax B Mitchell
Apr 21, 2019·The Journal of Thoracic and Cardiovascular Surgery·Minoo N Kavarana
Feb 20, 2009·Revista española de cardiología·Constancio Medrano LópezAntonio Moruno Tirado

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