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J Am Coll Cardiol, 2008; 52:52-59, doi:10.1016/j.jacc.2008.03.034
© 2008 by the American College of Cardiology Foundation
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Survival and Clinical Course at Fontan After Stage One Palliation With Either a Modified Blalock-Taussig Shunt or a Right Ventricle to Pulmonary Artery Conduit

Mark A. Scheurer, MD*,{ddagger},*, Joshua W. Salvin, MD*,{ddagger}, Vladimiro L. Vida, MD||, Francis Fynn-Thompson, MD{dagger},§, Emile A. Bacha, MD{dagger},§, Frank A. Pigula, MD{dagger},§, John E. Mayer, Jr, MD{dagger},§, Pedro J. del Nido, MD{dagger},§, David L. Wessel, MD, Peter C. Laussen, MBBS*,{ddagger} and Ravi R. Thiagarajan, MBBS, MPH*,{ddagger}

* Department of Cardiology, Children's Hospital, Harvard Medical School, Boston, Massachusetts
{dagger} Department of Cardiac Surgery, Children's Hospital, Harvard Medical School, Boston, Massachusetts
{ddagger} Department of Pediatrics, Harvard Medical School, Boston, Massachusetts
§ Department of Surgery, Harvard Medical School, Boston, Massachusetts
|| Pediatric and Congenital Cardiac Surgery Unit, Centro Gallucci, University of Padua Medical School, Padua, Italy
Children's National Medical Center, Washington, DC.


Figure 1
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Figure 1 Outcome of 80 Patients Who Underwent S1P From 2002 Through 2003

A tree of outcomes is presented for both RV-PA and BTS. *p = 0.74 between 2 groups (Fisher exact test), {dagger}p = 0.04 between 2 groups (Fisher exact test), and {ddagger}p = 1.0 between 2 groups (Fisher exact test). BCPA = bidirectional cavopulmonary anastomosis; BTS = modified Blalock-Taussig shunt; CHB = Children's Hospital Boston; D/C = discharge; OSH = outside hospital; RV-PA = right ventricle to pulmonary artery shunt; S1P = stage one palliation; 2V repair = biventricular repair.

 

Figure 2
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Figure 2 Kaplan-Meier Plot of Survival After S1P by Type of Pulmonary Arterial Shunt

Freedom from pulmonary artery intervention after S1P is shown. Abbreviations as in Figure 1.

 

Figure 3
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Figure 3 Kaplan-Meier Plot of Freedom From Pulmonary Artery Intervention After S1P by Type of Shunt

Cumulative survival after S1P by shunt. Abbreviations as in Figure 1.

 

Figure 4
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Figure 4 Kaplan-Meier Plot of Conditional Survival After Discharge After S1P by Type of Shunt

Survival after S1P discharge by shunt type. Time zero indicates discharge after S1P. Abbreviations as in Figure 1.

 




 
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