Cited 32 times in
Pulmonary atresia with ventricular septal defects and major aortopulmonary collateral arteries.
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 박한기 | - |
dc.contributor.author | 송석원 | - |
dc.contributor.author | 박영환 | - |
dc.date.accessioned | 2015-04-24T16:29:13Z | - |
dc.date.available | 2015-04-24T16:29:13Z | - |
dc.date.issued | 2009 | - |
dc.identifier.issn | 1346-9843 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/103604 | - |
dc.description.abstract | BACKGROUND: There is no consensus on the long-term outcome after unifocalization in patients undergoing surgery for pulmonary atresia with ventricular septal defects (VSD) and major aortopulmonary collateral arteries (MAPCAs). METHODS AND RESULTS: From 1988 to 2006, 40 patients (median age 8.5 months) underwent surgery for pulmonary atresia, VSD, and MAPCAs. The hospital mortality rate for the preparatory procedures was 1.2%; 17 patients had a complete repair (CR) at a median age of 3 years. Patients with a pulmonary artery index greater than 100 mm(2)/m(2) had a higher likelihood of CR. The overall survival rate 15 years after first operation in the CR group was 87.5%. Cox analysis demonstrated that increased number of MAPCAs (P=0.019, HR=1.666) was a significant predictor of poor survival, and CR (P=0.025, HR=0.141) was a significant predictor of favorable prognosis. On angiography, serial measurements of MAPCAs showed a significant decrease in size (from 5.2+/-2.9 to 4.1+/-2.9 mm after a mean of 20 months) (P<0.0001). CONCLUSIONS: Long-term survival into adulthood can be achieved with an integrated approach. Late survival depends on the number of MAPCAs, and CR. Growth potential of unifocalized MAPCAs was not definite. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.relation.isPartOf | CIRCULATION JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adolescent | - |
dc.subject.MESH | Aorta, Thoracic/abnormalities* | - |
dc.subject.MESH | Aorta, Thoracic/diagnostic imaging | - |
dc.subject.MESH | Aorta, Thoracic/surgery | - |
dc.subject.MESH | Child | - |
dc.subject.MESH | Child, Preschool | - |
dc.subject.MESH | Collateral Circulation | - |
dc.subject.MESH | Coronary Angiography | - |
dc.subject.MESH | Coronary Circulation | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Heart Septal Defects, Ventricular/diagnostic imaging | - |
dc.subject.MESH | Heart Septal Defects, Ventricular/mortality* | - |
dc.subject.MESH | Heart Septal Defects, Ventricular/surgery* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Infant | - |
dc.subject.MESH | Infant, Newborn | - |
dc.subject.MESH | Kaplan-Meier Estimate | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Pulmonary Artery/abnormalities* | - |
dc.subject.MESH | Pulmonary Artery/diagnostic imaging | - |
dc.subject.MESH | Pulmonary Artery/surgery | - |
dc.subject.MESH | Pulmonary Atresia/diagnostic imaging | - |
dc.subject.MESH | Pulmonary Atresia/mortality* | - |
dc.subject.MESH | Pulmonary Atresia/surgery* | - |
dc.subject.MESH | Reoperation/statistics & numerical data | - |
dc.subject.MESH | Risk Factors | - |
dc.title | Pulmonary atresia with ventricular septal defects and major aortopulmonary collateral arteries. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Thoracic & Cardiovascular Surgery (흉부외과학) | - |
dc.contributor.googleauthor | Suk-Won Song | - |
dc.contributor.googleauthor | Han Ki Park | - |
dc.contributor.googleauthor | Young-Hwan Park | - |
dc.contributor.googleauthor | Bum Koo Cho | - |
dc.identifier.doi | 10.1253/circj.CJ-08-0324 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01729 | - |
dc.contributor.localId | A02028 | - |
dc.contributor.localId | A03821 | - |
dc.contributor.localId | A01574 | - |
dc.relation.journalcode | J00534 | - |
dc.identifier.eissn | 1347-4820 | - |
dc.identifier.pmid | 19179776 | - |
dc.subject.keyword | Collateral blood flow | - |
dc.subject.keyword | Congenital heart disease | - |
dc.subject.keyword | Cyanosis | - |
dc.contributor.alternativeName | Park, Han Ki | - |
dc.contributor.alternativeName | Song, Suk Won | - |
dc.contributor.alternativeName | Park, Young Hwan | - |
dc.contributor.affiliatedAuthor | Park, Han Ki | - |
dc.contributor.affiliatedAuthor | Song, Suk Won | - |
dc.contributor.affiliatedAuthor | Park, Young Hwan | - |
dc.citation.volume | 73 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 516 | - |
dc.citation.endPage | 522 | - |
dc.identifier.bibliographicCitation | CIRCULATION JOURNAL, Vol.73(3) : 516-522, 2009 | - |
dc.identifier.rimsid | 37946 | - |
dc.type.rims | ART | - |
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