A new method for the quantitative standardization of cross-sectional areas of the pulmonary arteries in congenital heart diseases with decreased pulmonary blood flow

Nakata, Seisuke; Imai, Yasuharu; Takanashi, Yoshinori; Kurosawa, Hiromi; Tezuka, Kitsuhiro; Nakazawa, Makoto; Ando, Masahiko; Takao, Atsuyoshi

doi:10.1016/s0022-5223(19)38300-x

Cited by 498 publications

(185 citation statements)

References 12 publications

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“…It was concluded that a PAI of >250 mm 2 /m 2 is required for a successful Fontan. 16 However, other studies showed no significant statistical difference in PAI between survivors and nonsurvivors after Fontan. 17,18 In our study, the lowest value of PAI in survivors was as low as 107 mm 2 /m 2 .…”

Section: Discussionmentioning

confidence: 93%

“…An example of that is the pulmonary artery size. In 1984, Nakata et al 16 described a new method for the quantitative assessment of pulmonary artery size by dividing the cross-sectional area of the left and right pulmonary arteries by body surface area (the PAI, Nakata index). It was concluded that a PAI of >250 mm 2 /m 2 is required for a successful Fontan.…”

Section: Discussionmentioning

confidence: 99%

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11 Years of the Fontan operation at a single institution: Results from 87 consecutive patients

et al. 2020

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Fontan procedure is the preferred palliation for patients with single ventricles. Objectives To evaluate early morbidity and mortality after Fontan operation in 87 consecutive patients, between 2007 and 2017. Methods Early survival, duration of intensive care unit (ICU), and hospital stays were the main outcomes evaluated. Potential influencing factors evaluated included preoperative and intraoperative variables. Results Fontan procedure was performed at a median age of 4.2 years (range, 17 months‐26 years), and a median weight of 15.5 kg (range, 8‐72 kg). Extracardiac Fontan was the procedure of choice. The median cardiopulmonary bypass time was 122 minutes (range, 58‐550 minutes). The majority had a fenestration (75 out of 87). Postoperatively, the median duration of ICU stay and total hospital stay were (4, 1‐76 days) and (16, 1‐85 days), respectively. Fontan failure occurred in one patient (1%). Overall early survival was 94%, resulting in a mortality rate of 6%. Univariate analysis showed that heterotaxy (odds ratio [OR], 2.222; confidence interval [CI], 1.345‐6.250; P = .003) and decreased ventricular function (OR, 2.207; CI, 1.348‐6.061; P = .002) significantly decreased survival. The same analysis failed to identify any statistically significant risk factors for prolonged hospital and ICU stays. Conclusion Our reported mortality and morbidity rates compared favorably with the reported rates. Therefore, Fontan operation can be performed in a tertiary care center in the United Arab Emirates with favorable early postoperative outcomes.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

11 Years of the Fontan operation at a single institution: Results from 87 consecutive patients

et al. 2020

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“…Monitoring. The mean PAP was 11 (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19) mmHg. The PAP in patients with ascites was slightly higher than in those without ascites (13 mmHg vs. 11 mmHg), but the difference was not statistically significant (P = 0.16).…”

Section: Resultsmentioning

confidence: 99%

“…Otherwise, stenosis should be treated either preoperatively by catheter intervention or surgically. [1][2][3][4][5]8,9 Nevertheless, postoperative development of stenoses is possible, mainly due to narrowing in the anastomosis area, leading to suboptimal Fontan hemodynamics. [10][11][12] Clinical manifestations can be ascites, pleural effusions, and protein-losing enteropathy, although their pathogenesis is multifactorial.…”

Section: Introductionmentioning

confidence: 99%

Dilatation and Stenting of the Fontan Pathway: Impact of the Stenosis Treatment on Chronic Ascites

Ovroutski¹,

Ewert²,

Alexi-Meskishvili

et al. 2007

J Interven Cardiology

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“…All angiographic images were reviewed, and the Nakata index as well as the neopulmonary index was calculated according to previously published criteria. 10,15 With the reported data being mainly descriptive in nature, this study does not include any formal hypothesis. The study population was divided into patients that did not undergo ventricular septal defect (VSD) closure during initial surgical palliation (group 1) and those that underwent VSD closure with or without a fenestration (group 2).…”

Section: Data Collection and Outcome Parametersmentioning

confidence: 99%

Pulmonary Atresia with Ventricular Septal Defect and Multifocal Pulmonary Blood Supply: Does an Intensive Interventional Approach Improve the Outcome?

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Phillips

Chisolm

et al. 2011

Congenital Heart Disease

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A new method for the quantitative standardization of cross-sectional areas of the pulmonary arteries in congenital heart diseases with decreased pulmonary blood flow

Cited by 498 publications

References 12 publications

11 Years of the Fontan operation at a single institution: Results from 87 consecutive patients

11 Years of the Fontan operation at a single institution: Results from 87 consecutive patients

Dilatation and Stenting of the Fontan Pathway: Impact of the Stenosis Treatment on Chronic Ascites

Pulmonary Atresia with Ventricular Septal Defect and Multifocal Pulmonary Blood Supply: Does an Intensive Interventional Approach Improve the Outcome?

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