FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2068352044> ?p ?o ?g. }

• W2068352044 endingPage "1954" @default.
• W2068352044 startingPage "1948" @default.
• W2068352044 abstract "BackgroundDiscontinuous pulmonary arteries (PAs) may develop in patients with single-ventricle heart disease from a variety of causes. We investigated factors associated with successful connection of nonconfluent PAs in patients with a cavopulmonary circulation.MethodsWe reviewed 49 patients who underwent connection of discontinuous PAs with or after a bidirectional Glenn (n = 29) or Fontan (n = 20) procedure at a median age of 7.9 years. PA continuity was established by direct anastomosis in 27, interposition graft in 19, and transcatheter recanalization in 3. Survival was 92% ± 4% at 1 year and 89% ± 5% at 5 years.ResultsRecurrent PA occlusion was documented in 7 patients, 5 within 10 days of PA connection. The only factor associated with shorter freedom from PA occlusion was sole supply of blood flow to 1 lung by systemic-to-PA collaterals before connection (66% ± 14% vs 95% ± 4% freedom from occlusion at 6 months, p = 0.03). Among the 45 early survivors, freedom from PA reintervention or occlusion was 83 ± 6% at 1 year and 55 ± 9% at 3 years.ConclusionsDiscontinuous PAs can be successfully connected in most patients with a cavopulmonary circulation, although nonconfluent PAs appear to increase the risk of poor outcome after Fontan. Recurrent PA occlusion was usually diagnosed in the early postoperative period. In patients with sole supply to 1 lung through collaterals, shunt placement before PA connection may optimize outcome. A low threshold for investigation of the reconnected PA is warranted. Discontinuous pulmonary arteries (PAs) may develop in patients with single-ventricle heart disease from a variety of causes. We investigated factors associated with successful connection of nonconfluent PAs in patients with a cavopulmonary circulation. We reviewed 49 patients who underwent connection of discontinuous PAs with or after a bidirectional Glenn (n = 29) or Fontan (n = 20) procedure at a median age of 7.9 years. PA continuity was established by direct anastomosis in 27, interposition graft in 19, and transcatheter recanalization in 3. Survival was 92% ± 4% at 1 year and 89% ± 5% at 5 years. Recurrent PA occlusion was documented in 7 patients, 5 within 10 days of PA connection. The only factor associated with shorter freedom from PA occlusion was sole supply of blood flow to 1 lung by systemic-to-PA collaterals before connection (66% ± 14% vs 95% ± 4% freedom from occlusion at 6 months, p = 0.03). Among the 45 early survivors, freedom from PA reintervention or occlusion was 83 ± 6% at 1 year and 55 ± 9% at 3 years. Discontinuous PAs can be successfully connected in most patients with a cavopulmonary circulation, although nonconfluent PAs appear to increase the risk of poor outcome after Fontan. Recurrent PA occlusion was usually diagnosed in the early postoperative period. In patients with sole supply to 1 lung through collaterals, shunt placement before PA connection may optimize outcome. A low threshold for investigation of the reconnected PA is warranted." @default.
• W2068352044 created "2016-06-24" @default.
• W2068352044 creator A5013742088 @default.
• W2068352044 creator A5023064529 @default.
• W2068352044 creator A5039065099 @default.
• W2068352044 creator A5061269411 @default.
• W2068352044 date "2008-12-01" @default.
• W2068352044 modified "2023-10-16" @default.
• W2068352044 title "Connection of Discontinuous Pulmonary Arteries in Patients With a Superior or Total Cavopulmonary Circulation" @default.
• W2068352044 cites W1966344476 @default.
• W2068352044 cites W1987889165 @default.
• W2068352044 cites W1988558064 @default.
• W2068352044 cites W1998142840 @default.
• W2068352044 cites W2003678720 @default.
• W2068352044 cites W2016830658 @default.
• W2068352044 cites W2051478453 @default.
• W2068352044 cites W2060494385 @default.
• W2068352044 cites W2072154801 @default.
• W2068352044 cites W2076406506 @default.
• W2068352044 cites W2078086063 @default.
• W2068352044 cites W2089288432 @default.
• W2068352044 cites W2103381394 @default.
• W2068352044 cites W2133534863 @default.
• W2068352044 cites W2152065503 @default.
• W2068352044 cites W2157379339 @default.
• W2068352044 cites W4296261271 @default.
• W2068352044 cites W73194655 @default.
• W2068352044 doi "https://doi.org/10.1016/j.athoracsur.2008.07.072" @default.
• W2068352044 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4227614" @default.
• W2068352044 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/19022015" @default.
• W2068352044 hasPublicationYear "2008" @default.
• W2068352044 type Work @default.
• W2068352044 sameAs 2068352044 @default.
• W2068352044 citedByCount "14" @default.
• W2068352044 countsByYear W20683520442013 @default.
• W2068352044 countsByYear W20683520442015 @default.
• W2068352044 countsByYear W20683520442016 @default.
• W2068352044 countsByYear W20683520442017 @default.
• W2068352044 countsByYear W20683520442018 @default.
• W2068352044 countsByYear W20683520442022 @default.
• W2068352044 countsByYear W20683520442023 @default.
• W2068352044 crossrefType "journal-article" @default.
• W2068352044 hasAuthorship W2068352044A5013742088 @default.
• W2068352044 hasAuthorship W2068352044A5023064529 @default.
• W2068352044 hasAuthorship W2068352044A5039065099 @default.
• W2068352044 hasAuthorship W2068352044A5061269411 @default.
• W2068352044 hasBestOaLocation W20683520441 @default.
• W2068352044 hasConcept C126322002 @default.
• W2068352044 hasConcept C141071460 @default.
• W2068352044 hasConcept C164705383 @default.
• W2068352044 hasConcept C2776268601 @default.
• W2068352044 hasConcept C2776974648 @default.
• W2068352044 hasConcept C2777714996 @default.
• W2068352044 hasConcept C2778921608 @default.
• W2068352044 hasConcept C71924100 @default.
• W2068352044 hasConcept C8443397 @default.
• W2068352044 hasConceptScore W2068352044C126322002 @default.
• W2068352044 hasConceptScore W2068352044C141071460 @default.
• W2068352044 hasConceptScore W2068352044C164705383 @default.
• W2068352044 hasConceptScore W2068352044C2776268601 @default.
• W2068352044 hasConceptScore W2068352044C2776974648 @default.
• W2068352044 hasConceptScore W2068352044C2777714996 @default.
• W2068352044 hasConceptScore W2068352044C2778921608 @default.
• W2068352044 hasConceptScore W2068352044C71924100 @default.
• W2068352044 hasConceptScore W2068352044C8443397 @default.
• W2068352044 hasIssue "6" @default.
• W2068352044 hasLocation W20683520441 @default.
• W2068352044 hasLocation W20683520442 @default.
• W2068352044 hasLocation W20683520443 @default.
• W2068352044 hasLocation W20683520444 @default.
• W2068352044 hasOpenAccess W2068352044 @default.
• W2068352044 hasPrimaryLocation W20683520441 @default.
• W2068352044 hasRelatedWork W2052538295 @default.
• W2068352044 hasRelatedWork W2053568198 @default.
• W2068352044 hasRelatedWork W2091850843 @default.
• W2068352044 hasRelatedWork W2153618163 @default.
• W2068352044 hasRelatedWork W2197314980 @default.
• W2068352044 hasRelatedWork W2418199038 @default.
• W2068352044 hasRelatedWork W2444375365 @default.
• W2068352044 hasRelatedWork W2444658035 @default.
• W2068352044 hasRelatedWork W3030740161 @default.
• W2068352044 hasRelatedWork W3199729089 @default.
• W2068352044 hasVolume "86" @default.
• W2068352044 isParatext "false" @default.
• W2068352044 isRetracted "false" @default.
• W2068352044 magId "2068352044" @default.
• W2068352044 workType "article" @default.