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Hybrid Palliation for Ductal-Dependent Systemic Circulation

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Abstract

We reviewed our hybrid palliation experience for 91 neonates, with ductal-dependent systemic circulation, born between August 2007 and October 2015. For analysis, we stratified the 91 patients by a risk factor (RF) score and divided them into three groups: (1) high-risk two-functional ventricles (2V) median RF score of 3 (N = 20); (2) low-risk one-functional ventricle (1V) RF score 0–1 (N = 32); and (3) high-risk 1V RF score ≥2 (N = 39). Midterm survival (median 4 years) by group was: (1) 95 %, (2) 91 %, and (3) 15 %, (p = 0.001). In conclusion, hybrid palliation was associated with excellent midterm results for high-risk 2V and low-risk 1V patients with ductal-dependent systemic circulation. In contrast, high-risk 1V patients had significantly worse outcomes.

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Authors and Affiliations

  1. Children’s Heart Center Nevada, 3006 S. Maryland Pkwy Ste. 690, Las Vegas, NV, 89109, USA

    William N. Evans, Alvaro Galindo, Abraham Rothman, Michael L. Ciccolo, Sergio A. Carrillo, Ruben J. Acherman, Gary A. Mayman, Kathleen A. Cass, Katrinka T. Kip, Carlos F. Luna, Joseph M. Ludwick, Robert C. Rollins, William J. Castillo, John A. Alexander & Humberto Restrepo

  2. Division of Pediatric Cardiology, Department of Pediatrics, University of Nevada School of Medicine, 2040 W. Charleston Blvd Ste. 402, Las Vegas, NV, 89109, USA

    William N. Evans, Alvaro Galindo, Abraham Rothman, Ruben J. Acherman, Gary A. Mayman, Kathleen A. Cass, Katrinka T. Kip, Carlos F. Luna, Joseph M. Ludwick, Robert C. Rollins, William J. Castillo, John A. Alexander & Humberto Restrepo

  3. Department of Surgery, University of Nevada School of Medicine, 2040 W. Charleston Blvd Ste. 402, Las Vegas, NV, 89109, USA

    Michael L. Ciccolo & Sergio A. Carrillo

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  1. William N. Evans
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  2. Alvaro Galindo
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Correspondence to William N. Evans.

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Evans, W.N., Galindo, A., Rothman, A. et al. Hybrid Palliation for Ductal-Dependent Systemic Circulation. Pediatr Cardiol 37, 868–877 (2016). https://doi.org/10.1007/s00246-016-1361-3

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  • DOI: https://doi.org/10.1007/s00246-016-1361-3

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