Journal article
Staged unifocalization revisited
Journal of cardiac surgery, Vol.37(4), pp.967-968
04/01/2022
DOI: 10.1111/jocs.16296
PMID: 35137983
Abstract
Background: A staged thoracotomy unifocalization approach has not been the dominant option over the past 20 years primarily due to the introduction of midline one-stage complete unifocalization.
Methods: In this issue of the Journal of Cardiac Surgery, van de Woestijne et al. publish their experience over the past 30 years in 39 consecutive patients with "consistent" staged unifocalization through a lateral thoracotomy in patients with pulmonary atresia, ventricular septal defect, and major aortopulmonary collateral arteries (PA/VSD/MAPCA).
Results: They report definitive repair completion in 76.3% of the patients and an overall survival after definitive repair of 96% at 20 years despite the study period ranging from 1989 to the present.
Conclusion: Given the multiple variations one could have with PA/VSD/MPACA, a midline unifocalization approach may not always be possible. Surgeons should be familiar with the lateral thoracotomy unifocalization staged approach to PA/VSD/MAPCA.
Details
- Title: Subtitle
- Staged unifocalization revisited
- Creators
- Yuki Nakamura - University of Oklahoma Health Sciences CenterHarold M. Burkhart - University of Oklahoma Health Sciences Center
- Resource Type
- Journal article
- Publication Details
- Journal of cardiac surgery, Vol.37(4), pp.967-968
- DOI
- 10.1111/jocs.16296
- PMID
- 35137983
- ISSN
- 0886-0440
- eISSN
- 1540-8191
- Publisher
- Wiley
- Number of pages
- 2
- Language
- English
- Date published
- 04/01/2022
- Academic Unit
- Cardiothoracic Surgery
- Record Identifier
- 9985164052202771
Metrics
1 Record Views