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Verifying the Usefulness of Pulmonary Blood Flow Studies in the Correction of Pulmonary Atresia and Ventricular Septal Defect with Major Aortopulmonary Collateral Arteries
- Source :
- Cardiology Research and Practice, Cardiology Research and Practice, Vol 2021 (2021)
- Publication Year :
- 2021
- Publisher :
- Hindawi, 2021.
-
Abstract
- Objective. We retrospectively analyzed the surgical results of pulmonary blood flow studies to guide ventricular septal defect (VSD) closure in the correction of pulmonary atresia and ventricular septal defect with major aortopulmonary collateral arteries (PA/VSD/MAPCAs). Methods. A total of 57 children who were diagnosed with PA/VSD/MAPCAs and who underwent intraoperative pulmonary blood flow studies at our hospital between August 2016 and June 2019 were included. Surgery and cardiopulmonary bypass records were collected. The receiver operating characteristic (ROC) curve was used to verify the accuracy of pulmonary blood flow studies to predict VSD closure. Results. Complete VSD closure was achieved in 39 of 57 children (68.42%), with a median age of 2 years and 5 months (range: 7 months to 15 years and 9 months) and a median weight of 11.0 kg (5.7–36.5 kg). Partial VSD repair was recorded for 21 children (36.84%), including 4 children (19.05%) who underwent VSD closure in the later stages and 13 children (61.90%) who were under follow-up and waiting to undergo complete VSD closure. There was only one child (1.75%) with VSD left. After eliminating the data of four unqualified cases, the ROC curve for predicting VSD closure based on 53 pulmonary blood flow studies was obtained at a p value of
- Subjects :
- Surgical results
medicine.medical_specialty
congenital, hereditary, and neonatal diseases and abnormalities
Article Subject
030204 cardiovascular system & hematology
law.invention
03 medical and health sciences
0302 clinical medicine
law
Internal medicine
medicine.artery
Cardiopulmonary bypass
Diseases of the circulatory (Cardiovascular) system
Pulmonary blood flow
Medicine
Receiver operating characteristic
business.industry
Area under the curve
medicine.disease
030228 respiratory system
RC666-701
Pulmonary artery
Cardiology
Cardiology and Cardiovascular Medicine
business
Pulmonary atresia
Perfusion
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 20900597 and 20908016
- Volume :
- 2021
- Database :
- OpenAIRE
- Journal :
- Cardiology Research and Practice
- Accession number :
- edsair.doi.dedup.....a7b7b24be9188ec0c8f68f788e304236