-
Views
-
Cite
Cite
D.M. Dorobantu, M.T.A. Sharabiani, R. Pandey, G.D. Angelini, A.J. Parry, M. Caputo, S.C. Stoica, 971
The burden of reinterventions after common arterial trunk repair in infants: contemporary results from a national database, European Heart Journal, Volume 38, Issue suppl_1, August 2017, ehx502.971, https://doi.org/10.1093/eurheartj/ehx502.971 - Share Icon Share
Extract
Background: Advances in surgical techniques and perioperative care have reduced mortality after common arterial trunk (CAT) repair in the last decades, but reinterventions remain a significant cause of morbidity and mortality, most patients undergoing at least one in their lifetime. Long term data in these patients are limited to single center studies.
Purpose: We aim to report contemporary data on the burden of reinterventions from a national, multicenter procedure based audit.
Methods: All infants undergoing a CAT repair between 2000 and 2016 in the British Isles were included and all subsequent cardiac interventions on the truncal valve (TV), right ventricular outflow tract (RVOT), aortic arch (AA) and pulmonary arteries (PA) were collected. Analysis was performed using the Kaplan Meier method and the Cox regression.
Results: A total of 503 infants were included (median age 26 days). Of them, 18 (4%) had previous palliation, 55 (11%) had an atrial septal defect, 79 (16%) had DiGeorge syndrome, 52 (11%) had an IAA repair, 30 (6%) a TV repair and 3 (0.6%) a TV replacement at index.