Does left ventricular outflow tract obstruction influence outcome of interrupted aortic arch repair?

Fulton, J O; Mas, Carlos; Brizard, Christian P.; Cochrane, Andrew; Karl, Tom R.

doi:10.1016/s0003-4975(98)01193-x

Cited by 51 publications

(34 citation statements)

References 21 publications

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“…However, association with SAS and complex malformations reduces the 5-year survival to 60% while in some other reports association of complex malformations with IAA had no statistical impact on early and late mortality [7]. Reported survival at 10 years varies from 47% [13] up to 85% [47,91].…”

Section: Early Mortality and Midterm Resultsmentioning

confidence: 95%

“…Fulton et al [47] noted a freedom from reintervention for arch obstruction of 83% at 12 years after repair. The reported prevalence of aortic arch obstruction (gradient higher than 30 mmHg) varies from 20% [5,85] to 27% [7].…”

Section: Aortic Arch Stenosismentioning

confidence: 99%

“…The presence of LVOTO may influence both early and late survival and account for many late interventions and deaths [7,8,13,14,[32][33][34][35][36]47,48]. Obstruction can be at multiple levels such as posterior malalignment of the conal septum, aortic valve hypoplasia or stenosis, and ascending aorta hypoplasia [32].…”

Section: Subaortic Stenosis (Sas)mentioning

confidence: 99%

“…Some patients will require repeated percutaneous procedures while some patients would require bilateral pulmonary artery patch arterioplasty [15]. The use of conduits for right ventricular to pulmonary artery continuity is an important risk factor for further operations [47].…”

Section: Pulmonary Artery Reinterventionmentioning

confidence: 99%

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Management strategies for interrupted aortic arch with associated anomalies

Mishra

2009

European Journal of Cardio-Thoracic Surgery

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Interrupted aortic arch (IAA) is characterised by a lack of luminal continuity between the ascending and descending thoracic aorta. It represents a critical ductus dependent congenital heart disease, which without surgery is associated with high mortality in the neonatal period. Management remains challenging, although in recent years overall mortality appears to be improving. Long-term morbidity and need for repeated interventions are areas of concern. It is difficult to make generalised recommendations based on this literature review as complex associated anomalies often require individualised management strategy.

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Section: Early Mortality and Midterm Resultsmentioning

confidence: 95%

Section: Aortic Arch Stenosismentioning

confidence: 99%

Section: Subaortic Stenosis (Sas)mentioning

confidence: 99%

Section: Pulmonary Artery Reinterventionmentioning

confidence: 99%

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Management strategies for interrupted aortic arch with associated anomalies

Mishra

2009

European Journal of Cardio-Thoracic Surgery

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“…The primary repair of IAA and VSD was first reported by Trusler and Izukawa in 1970 [2]. The mortality and long-term results after repair of IAA depend on morphology, clinical status, surgical methods and experience [3][4][5][6][7]. We reported our initial experience with the primary and two-stage repair of IAA and associated heart lesions in 1998 [8].…”

Section: Introductionmentioning

confidence: 99%