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DC Field | Value | Language |
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dc.contributor.author | Bell, D. | en |
dc.contributor.author | d'Udekem, Y. | en |
dc.contributor.author | Fricke, T. A. | en |
dc.contributor.author | Daley, M. | en |
dc.contributor.author | Konstantinov, I. E. | en |
dc.contributor.author | Alphonso, N. | en |
dc.contributor.author | Brizard, C. P. | en |
dc.date.accessioned | 2022-11-07T23:41:44Z | - |
dc.date.available | 2022-11-07T23:41:44Z | - |
dc.date.issued | 2020 | en |
dc.identifier.citation | 160, (1), 2020, p. 191-199.e1 | en |
dc.identifier.other | RIS | en |
dc.identifier.uri | http://dora.health.qld.gov.au/qldresearchjspui/handle/1/3382 | - |
dc.description.abstract | Objective: We sought to determine the influence of coronary artery anatomy on mortality in more than 1000 children undergoing the arterial switch operation. Methods: All patients who underwent an arterial switch operation were identified from 2 hospital databases and reviewed retrospectively. Coronary anatomy was recorded from operative reports using the Leiden classification. Results: An arterial switch operation was performed in 1033 children between 1983 and 2013. Coronary anatomy was normal in 697 patients (67%). The most common type of anomalous coronary anatomy was the circumflex coronary artery arising from sinus 2 (in 152 patients [15%]). Forty-seven patients (4.5%) had all coronary arteries arising from a single sinus. Of these 47 patients, 34 patients (3.3%) had a true single coronary artery. Fifty-two patients (5.0%) had an intramural coronary artery. Overall early mortality was 3.3% (34 out of 1033 patients) over the 30-year period. Early mortality was 3.0% (21 out of 697) for patients with normal coronary anatomy and 3.9% (13 out of 336) for any type of anomalous coronary anatomy. Early mortality was 3.3% (5 out of 152) for patients with the circumflex coronary artery arising from sinus 2, 6.4% (3 out of 47) for patients with all coronary arteries arising from a single sinus, and 5.9% (2 out of 34) for patients with a true single coronary artery. Early mortality for patients with intramural coronaries was 1.9% (1 out of 52). No coronary pattern was found to be a risk factor for mortality. Conclusions: Patients with anomalous coronary artery anatomy had higher rates of early mortality after the arterial switch operation but this was not statistically significant. Coronary artery reoperations were rare.L20053982912020-04-07 <br /> | en |
dc.language.iso | en | en |
dc.relation.ispartof | Journal of Thoracic and Cardiovascular Surgery | en |
dc.title | The influence of coronary artery anatomy on mortality after the arterial switch operation | en |
dc.type | Article | en |
dc.identifier.doi | 10.1016/j.jtcvs.2019.11.146 | en |
dc.subject.keywords | human | en |
dc.subject.keywords | major clinical study | en |
dc.subject.keywords | male | en |
dc.subject.keywords | mortality | en |
dc.subject.keywords | reoperation | en |
dc.subject.keywords | conference paper | en |
dc.subject.keywords | risk factor | en |
dc.subject.keywords | arterial switch operationchild | en |
dc.subject.keywords | retrospective study | en |
dc.subject.keywords | controlled study | en |
dc.subject.keywords | coronary artery circumflex branch | en |
dc.subject.keywords | female | en |
dc.relation.url | https://www.embase.com/search/results?subaction=viewrecord&id=L2005398291&from=exporthttp://dx.doi.org/10.1016/j.jtcvs.2019.11.146 | | en |
dc.identifier.risid | 1926 | en |
dc.description.pages | 191-199.e1 | en |
item.grantfulltext | none | - |
item.openairetype | Article | - |
item.fulltext | No Fulltext | - |
item.languageiso639-1 | en | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.cerifentitytype | Publications | - |
Appears in Sites: | Children's Health Queensland Publications |
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