In neonatal truncus repair, a mildly oversized (Z +2) conduit regardless of origin,
is associated with improved longevity and freedom from pulmonary artery intervention.
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References
- Right ventricle to pulmonary artery conduit size is associated with conduit and pulmonary artery reintervention after truncus arteriosus repair.Semin Thorac Cardiovasc Surg. 2022; 34: 1003-1009
- Characteristics and operative outcomes for children undergoing repair of truncus arteriosus: A contemporary multicenter analysis.J Thorac Cardiovasc Surg. 2019; 157: 2386-2398.e4
- Reinterventions after repair of common arterial trunk in neonates and young infants.J Am Coll Cardiol. 2000; 35: 1317-1322
- Pulmonary Conduit Working Group for the members of the Congenital Heart Surgeons Society. Can pulmonary conduit dysfunction and failure be reduced in infants and children less than age 2 years at initial implantation?.J Thorac Cardiovasc Surg. 2006; 132: 829-838
- Congenital Heart Surgeons' Society. Association of pulmonary conduit type and size with durability in infants and young children.Ann Thorac Surg. 2013; 96: 1695-1701
Article info
Publication history
Published online: June 09, 2021
Footnotes
Conflicts of Interest: None.
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
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- Right Ventricle to Pulmonary Artery Conduit Size Is Associated with Conduit and Pulmonary Artery Reinterventions After Truncus Arteriosus RepairSeminars in Thoracic and Cardiovascular SurgeryVol. 34Issue 3
- PreviewWe studied conduit-related risk factors for mortality, conduit reintervention, conduit replacement, and pulmonary artery (PA) reinterventions after truncus repair. Patients who underwent truncus repair at our institution between 1995 and 2019 were studied. Cox proportional hazards modeling evaluated variables for association with mortality, time to conduit reintervention, time to conduit replacement, and time to PA reintervention. Truncus was repaired in 107 patients at median age of 17 days (IQR 9–45).
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