Objective-Double outlet right ventricle,which often associated with total anomalous pulmonary venous connection and complete endocardial cushion defects,has been considered a risk factor for biventricular repair proce...Objective-Double outlet right ventricle,which often associated with total anomalous pulmonary venous connection and complete endocardial cushion defects,has been considered a risk factor for biventricular repair procedure. To reviewed cases treated by biventricular repair for endocardial cushion defects with double outlet right ventricle. Methods From July to November of 2009,6展开更多
The management of pulmonary atresia with intact ventricular septum（PA/IVS） remains controversial. The goal of separating systematic and pulmonary circulation can be achieved by biventricular or uni-ventricular（Font...The management of pulmonary atresia with intact ventricular septum（PA/IVS） remains controversial. The goal of separating systematic and pulmonary circulation can be achieved by biventricular or uni-ventricular（Fontan or one and a half ventricle repair） strategies. Although outcomes have been improved,these surgical procedures are still associated with high mortality and morbidity. An optimal strategy for definitive repair has yet to be defined. We searched databases for genetically randomized controlled trials（RCTs） comparing biventricular with uni-ventricular repair for patient with PA/IVS. Data extraction and quality assessment were performed following the guidelines of the Cochrane Collaboration. Primary outcome measures were overall survival,and secondary criteria included exercise function,arrhythmia-free survival and treatment-related mortality. A total number of 669 primary citations were screened for relevant studies. Detailed analysis revealed that no RCTs were found to adequately address the research question and no systematic meta-analysis would have been carried out. Nevertheless,several retrospective analyses and case series addressed the question of finding right balance between biventricular and uni-ventricular repair for patient with PA/IVS. In this review,we will discuss the currently available data.展开更多
文摘Objective-Double outlet right ventricle,which often associated with total anomalous pulmonary venous connection and complete endocardial cushion defects,has been considered a risk factor for biventricular repair procedure. To reviewed cases treated by biventricular repair for endocardial cushion defects with double outlet right ventricle. Methods From July to November of 2009,6
文摘The management of pulmonary atresia with intact ventricular septum（PA/IVS） remains controversial. The goal of separating systematic and pulmonary circulation can be achieved by biventricular or uni-ventricular（Fontan or one and a half ventricle repair） strategies. Although outcomes have been improved,these surgical procedures are still associated with high mortality and morbidity. An optimal strategy for definitive repair has yet to be defined. We searched databases for genetically randomized controlled trials（RCTs） comparing biventricular with uni-ventricular repair for patient with PA/IVS. Data extraction and quality assessment were performed following the guidelines of the Cochrane Collaboration. Primary outcome measures were overall survival,and secondary criteria included exercise function,arrhythmia-free survival and treatment-related mortality. A total number of 669 primary citations were screened for relevant studies. Detailed analysis revealed that no RCTs were found to adequately address the research question and no systematic meta-analysis would have been carried out. Nevertheless,several retrospective analyses and case series addressed the question of finding right balance between biventricular and uni-ventricular repair for patient with PA/IVS. In this review,we will discuss the currently available data.
