Abstract：
:Requiring bilateral superior cavopulmonary anastomosis (bSCPA) instead of unilateral superior cavopulmonary anastomosis (uSCPA) could influence surgical timing and outcomes. We compared surgical timing and outcomes for patients who underwent uSCPA to those who underwent bSCPA through use of the Pediatric Heart Network's public datasets for the Infant Single Ventricle trial and Single Ventricle Reconstruction trial. There was no statistically significant difference in median age at SCPA (158 vs. 150 days, p = 0.68), hospital length of stay (LOS) (7 vs. 7 days, p = 0.74), intensive care unit (ICU) LOS (4 vs. 5 days, p = 0.53), time requiring ventilator support (2 vs. 2 days, p = 0.51), or oxygen saturation at discharge (82 vs. 81%, p = 0.22) between the uSCPA and bSCPA groups, respectively. However, sub-analysis comparing only those who underwent early SCPA, at < 120 days of age, revealed significantly longer hospital LOS (8 vs. 13 days, p = 0.04), ICU LOS (5 vs. 11 days, p = 0.01), and time requiring ventilator support (2 vs. 4 days, p = 0.03) for the early bSCPA group when compared to the early uSCPA group. A multivariable logistic regression revealed bSCPA to be the only significant predictor of prolonged hospital LOS for patients who underwent early SCPA (odds ratio 4.1, 95% CI 1.2-14.2). Overall, there was no difference in surgical timing or outcome measures between uSCPA and bSCPA. However, early bSCPA, performed at < 120 days, had worse outcome measures than early uSCPA. Delaying elective bSCPA until at least 120 days of age could minimize morbidity in infants with bilateral superior venae cavae.
journal_name
Pediatr Cardioljournal_title
Pediatric cardiologyauthors
Shuler JM,Statile C,Heydarian H,Lehenbauer DG,Hill GDdoi
10.1007/s00246-020-02527-4subject
Has Abstractpub_date
2021-01-08 00:00:00eissn
0172-0643issn
1432-1971pii
10.1007/s00246-020-02527-4pub_type
杂志文章abstract：:Sinus node disease is a problem encountered in patients after the Mustard surgery, requiring a pacemaker implantation. The knowledge of the complexity anatomy is crucial because of the possible challenges associated with this procedure. We report a case of a 24-year-old woman presented with symptomatic bradycardia, in...
journal_title：Pediatric cardiology
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journal_title：Pediatric cardiology
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pub_type： 杂志文章,随机对照试验
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更新日期：1990-04-01 00:00:00
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pub_type： 杂志文章
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doi：10.1007/BF02282740
更新日期：1985-01-01 00:00:00
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doi：10.1007/s00246-008-9256-6
更新日期：2008-11-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s00246-010-9719-4
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pub_type： 杂志文章
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pub_type： 杂志文章,多中心研究
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