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Long-term outcomes of truncus arteriosus repair: A modulated renewal competing risks analysis

The Journal of Thoracic and Cardiovascular Surgery Feb 16, 2021

Guariento A, Doulamis IP, Staffa SJ, et al. - Researchers conducted this study with the aim to determine the independent risk factors for mortality and reintervention after early surgical correction of truncus arteriosus (TA) using a novel statistical method. Among 204 included patients who underwent neonatal/infant TA repair, mortality was reported for 32 patients (15%). Overall mortality was noted to be significantly linked with smaller right ventricle to pulmonary artery (RV-PA) conduit size and truncal valve (TV) insufficiency at birth. TV reoperations were observed in correlation with TV insufficiency at birth, TV intervention at index repair, and number of cusps (4 vs 3). A higher risk of early catheter-based reintervention and reoperation on the RV-PA conduit were observed in correlation with RV-PA conduit size ≤ 11 mm.

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