The Experts below are selected from a list of 5805 Experts worldwide ranked by ideXlab platform
Frank L. Hanley - One of the best experts on this subject based on the ideXlab platform.
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Late Results of Repair of Truncus arteriosus
Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual, 1998Co-Authors: V. Mohan Reddy, Frank L. HanleyAbstract:Over the last three decades, management of Truncus arteriosus has evolved with improving outcomes. Surgical repair is currently performed primarily during the neonatal period. This has prevented the severe morbidity and mortality resulting from congestive heart failure and pulmonary vascular obstructive disease. Although it has been 30 years since successful surgical repair of this lesion, the long-term follow-up studies have been limited to children who underwent Truncus repair beyond the infancy period. In this article, we review the literature and also summarize the long-term results of Truncus arteriosus at the University of California, San Francisco, where a repair in early infancy has been routine since 1975. A retrospective review was performed to assess long-term outcomes among 165 patients (81 % of patients were
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Truncus arteriosus With Patent Ductus arteriosus and Normal Aortic Arch
The Annals of thoracic surgery, 1997Co-Authors: Dennis M. Mello, Doff B. Mcelhinney, Andrew J. Parry, Norman H. Silverman, Frank L. HanleyAbstract:In hearts with a common arterial trunk (Truncus arteriosus), there is almost always an inverse development of the aortic arch and the ductus arteriosus. Truncus with a normal aortic arch and a patent ductus is a rare echocardiographic and surgical finding. In this report, we describe 2 neonates in whom Truncus arteriosus with a normal aortic arch and a medium or large patent ductus was diagnosed by preoperative echocardiography (without catheterization) and confirmed intraoperatively.
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Repair of Truncus arteriosus in the neonate.
The Journal of thoracic and cardiovascular surgery, 1993Co-Authors: Frank L. Hanley, Markus K. Heinemann, Richard A. Jonas, John E. Mayer, Nancy R. Cook, David L. Wessel, Aldo R. CastanedaAbstract:From September 1986 through December 1991, 63 patients with Truncus arteriosus underwent surgical repair. The management approach evolved over the period of the study from elective primary repair at 3 months of age to elective primary repair in the early neonatal period. Thirty variables were examined as potential risk factors for the outcome events of death, reoperation, and presence of pulmonary vascular morbidity. According to both univariate and multivariate techniques, severe truncal valve regurgitation, interrupted aortic arch, coronary artery anomalies, and age at repair greater than 100 days were important risk factors for perioperative death. In the 33 patients without these risk factors, early survival was 100 %. In the 30 patients with one or more of these risk factors, survival was 63%. Pulmonary hypertensive episodes were fewer, and duration of ventilator dependence and pulmonary artery pressure were significantly less in patients undergoing the operation before 30 days of age. Seven patients required reoperation for right ventricular outflow tract obstruction at a mean follow-up time of 23.4 months, with no deaths. In conclusion, interrupted aortic arch, severe truncal valve insufficiency, coronary anomalies, and repair later than 100 days of age were risk factors for death after repair of Truncus arteriosus. In the absence of these associations, Truncus arteriosus can be repaired with excellent surgical outcome in the neonatal and early infancy period. Repair in the early neonatal period reduces the prevalence of postoperative pulmonary vascular morbidity. (J T horac C ardiovasc S urg 1993;105:1047-56)
Tal Geva - One of the best experts on this subject based on the ideXlab platform.
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Truncus arteriosus with anomalous pulmonary venous connection.
The American journal of cardiology, 1999Co-Authors: Silvio H. Litovsky, Ishay Ostfeld, Per G. Bjørnstad, Richard Van Praagh, Tal GevaAbstract:The anatomic, diagnostic, and management findings of 6 patients with Truncus arteriosus and anomalous pulmonary venous connections are described. Additional risk factors indicative of poor prognosis were found in 3 of 4 patients with Truncus arteriosus and totally anomalous pulmonary venous connection and in 1 patient with partially anomalous pulmonary venous connection.
Michael F. Swartz - One of the best experts on this subject based on the ideXlab platform.
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The Initial Glimpse at Long-term Outcomes Following the Repair of Truncus arteriosus.
Seminars in thoracic and cardiovascular surgery, 2016Co-Authors: George M. Alfieris, Michael F. SwartzAbstract:The article by Naimo and colleagues (outcomes of Truncus arteriosus repair in children: 35 years of experience from a single center) provides the initial glimpse at long-term outcomes following Truncus arteriosus repair. Although survival has improved over the past decade, the morbidity resulting from subsequent re-operations now comprises a significant area for improvement in the ensuing decade.
Silvio H. Litovsky - One of the best experts on this subject based on the ideXlab platform.
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Truncus arteriosus with anomalous pulmonary venous connection.
The American journal of cardiology, 1999Co-Authors: Silvio H. Litovsky, Ishay Ostfeld, Per G. Bjørnstad, Richard Van Praagh, Tal GevaAbstract:The anatomic, diagnostic, and management findings of 6 patients with Truncus arteriosus and anomalous pulmonary venous connections are described. Additional risk factors indicative of poor prognosis were found in 3 of 4 patients with Truncus arteriosus and totally anomalous pulmonary venous connection and in 1 patient with partially anomalous pulmonary venous connection.
Hung-chi Lue - One of the best experts on this subject based on the ideXlab platform.
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Tricuspid atresia with persistent Truncus arteriosus.
Journal of the Formosan Medical Association = Taiwan yi zhi, 1999Co-Authors: Jieh-neng Wang, Jou-kou Wang, Hung-chi LueAbstract:The association of tricuspid atresia and persistent Truncus arteriosus is a very rare congenital anomaly. We report a newborn with a prenatal diagnosis of tricuspid atresia, in whom associated type II persistent Truncus arteriosus was found by postnatal echocardiography. The patient had mild cyanosis and developed heart failure soon after birth. Balloon septostomy was performed to enlarge the interatrial communication. However, her condition rapidly deteriorated and she died of sepsis and heart failure at the age of 14 days.
