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Improved long-term outcomes in double-inlet left ventricle and tricuspid atresia with transposed great arteries: systemic outflow tract obstruction present at birth defines long-term outcome
Author(s) -
Lotte C. Franken,
Manouk Admiraal,
Charlotte E. Verrall,
Diana Zannino,
Julian Ayer,
Ajay J. Iyengar,
Andrew D. Cole,
Gary F. Sholler,
Yves d’Udekem,
David S. Winlaw
Publication year - 2017
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1093/ejcts/ezx022
Subject(s) - tricuspid atresia , medicine , hazard ratio , cardiology , great arteries , ventricle , proportional hazards model , atresia , confidence interval , fontan procedure , aorta , surgery
In 2 subtypes of functional single ventricle, double inlet left ventricle (DILV) and tricuspid atresia with transposed great arteries (TA-TGA), systemic output passes through an outflow chamber before entering the aorta. Intracardiac obstruction to this pathway causing systemic outflow tract obstruction (SOTO) may be present at birth or develop over time. Long-term survival after Fontan has not been defined. We defined outcomes utilizing records from 2 centres that were cross-checked with data from a bi-national Fontan Registry for completeness and accuracy.

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