Long-Term Surgical Outcomes of Patients With Isomeric Right and Left Atrial Appendages
| Autor: | Ujjwal Kumar Chowdhury, Robert H Anderson, Niraj Nirmal Pandey, Niwin George, Lakshmi Kumari Sankhyan, Maroof A Khan, Shikha Goja, Sivasubramanian Ramakrishnan, Saurabh Kumar Gupta |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | World Journal for Pediatric and Congenital Heart Surgery. 14:291-299 |
| ISSN: | 2150-136X 2150-1351 |
| Popis: | Objectives: To compare the long-term outcomes of biventricular, univentricular, and so-called one-and-one-half ventricular repairs in patients with left and right isomerism. Methods: Surgical correction was undertaken, between 2000 and 2021, in 198 patients with right, and 233 with left isomerism. Results: The median age at operation was 24 days (interquartile range [IQR]: 18-45) and 60 days (IQR: 29-360) for those with right and left isomerism, respectively. Multidetector computed-tomographic angiocardiography demonstrated more than half of those with right isomerism had superior caval venous abnormalities, and one-third had a functionally univentricular heart. Almost four-fifths of those with left isomerism had an interrupted inferior caval vein, and one-third had complete atrioventricular septal defect. Biventricular repair was achieved in two-thirds of those with left isomerism, but under one-quarter with right isomerism ( P |
| Databáze: | OpenAIRE |
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