repair of pulmonary atresia with intact ventricular septum. Jonah Odim *, Hillel .... score of Ð2.5, which indicated a milder degree of hypoplasia than estimates from ... single leaflet with overlying glutaldehyde-treated auto- logous pericardium for ...
European Journal of Cardio-thoracic Surgery 29 (2006) 659—665 www.elsevier.com/locate/ejcts
Risk factors for early death and reoperation following biventricular repair of pulmonary atresia with intact ventricular septum Jonah Odim *, Hillel Laks, Thomas Tung Division of Cardiothoracic Surgery, Department of Surgery, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, CHS 62-226B Los Angeles, CA 90095, USA Received 28 June 2005; received in revised form 6 January 2006; accepted 25 January 2006; Available online 9 March 2006
Abstract Objective: Since a functional right ventricle is desirable when repairing pulmonary atresia with intact ventricular septum, we sought to determine the factors that portend a successful biventricular repair in these children. Methods: A review of operative records at UCLA between 1982 and 2001 revealed 56 patients diagnosed with pulmonary atresia with intact ventricular septum that underwent either a partial (n = 26) or complete biventricular repair. Kaplan—Meier survival curves with log rank statistics were used to evaluate the influence of demographic, technical, and anatomic factors on survival and need for reoperation. Results: Five-year actuarial survival following biventricular repair was 91.5%. Non-Caucasian race ( p = 0.011) and omission of palliative right ventricular outflow tract obstruction (RVOTO) relief ( p = 0.042) were risk factors for early death. All patients with adequate follow-up required reoperation with median duration of 6.9 years. The most common cause of early reoperation (
