Double-inlet ventricle presenting in infancy. I. Survival without definitive repair.
作者： Rodney C.G. Franklin , David J. Spiegelhalter , Robert H. Anderson , Fergus J. Macartney , Raul I. Rossi Filho
DOI: 10.1016/S0022-5223(19)36645-0
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摘要: Survival before definitive operations was studied in 191 infants with double-inlet ventricle presenting 1 year of age (1973 to 1988, median follow-up 8.5 years). The morphologic spectrum broad, a great prevalence associated lesions. actuarial survival rate repair 57% at year, 43% 5 years, and 42% 10 worse than prior reports because the younger entry into our series. Analysis univariate risk factors established that right atrial isomerism (18% group, relative 2.9), common atrioventricular orifice (42%, 2.0), pulmonary atresia (20%, 3.4), obstruction systemic outflow tract (18%, 2.5), extracardiac anomalous venous connection (13%, 3.1) were strongly poorer survival. Pulmonary stenosis (40%, 0.35), balanced blood flow (9%, 0.40), presentation an older (33%, 0.42 0.18) beneficial (p
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