https://scholars.lib.ntu.edu.tw/handle/123456789/529356
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | Hsu J.-Y. | en_US |
dc.contributor.author | JOU-KOU WANG | en_US |
dc.contributor.author | MING-TAI LIN | en_US |
dc.contributor.author | EN-TING WU | en_US |
dc.contributor.author | SHUENN-NAN CHIU | en_US |
dc.contributor.author | CHUN-AN CHEN | en_US |
dc.contributor.author | Lue H.-C. | en_US |
dc.contributor.author | MEI-HWAN WU | en_US |
dc.creator | Hsu J.-Y.;Wang J.-K.;Ming-Tai Lin;Wu E.-T.;Chiu S.-N.;Chen C.-A.;Lue H.-C.;Wu M.-H. | - |
dc.date.accessioned | 2020-12-21T02:55:24Z | - |
dc.date.available | 2020-12-21T02:55:24Z | - |
dc.date.issued | 2006 | - |
dc.identifier.issn | 0003-4975 | - |
dc.identifier.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-33745199826&doi=10.1016%2fj.athoracsur.2006.02.020&partnerID=40&md5=0799733c6621fc3597ea45e6decabea0 | - |
dc.identifier.uri | https://scholars.lib.ntu.edu.tw/handle/123456789/529356 | - |
dc.description.abstract | Background: The presence of major aortopulmonary collateral arteries (MAPCA) in patients with right isomerism may alter the prognosis, which is still unclear. Methods: From 1994 to 2003, 138 out of 155 patients (89%) with right isomerism had pulmonary stenosis or pulmonary atresia and constituted the study population. Results: Two groups of patients were identified, one with MAPCA and the other without. The MAPCA originating from descending thoracic aorta or aortic arch was noted in 9 patients (6.5%), with a median number of MAPCA being 3 (range, 2 to 4). Patients with MAPCA commonly had congestive heart failure (8/9, 89%) and frequent lower airway infection (6/9, 67%). In comparison with patients with MAPCA and without, the intrapericardial pulmonary artery was more frequently absent (2 of 9 vs 1 of 129, p < 0.001), and the pulmonary arterial size was smaller (McGoon ratio <1.5, 8 of 9 vs 57 of 129, p = 0.009) in the MAPCA group. The mean pulmonary arterial pressure measured was often higher than the suggested limit for Fontan circulation. Major aortopulmonary collateral arteries were addressed at a median of 6 months old (2 to 19 months old) in 5 patients. Although surgical mortality was not different for first-stage palliation and Glenn shunt in both groups, total cavopulmonary connection could only be performed in one patient with MAPCA with poor results. However, the 5-year survival of patients with and without MAPCA was not statistically different (74.1% vs 55.2%, p = 0.19). Conclusions: The presence of MAPCA was uncommon but still noted in patients with right isomerism. It may cause heart failure and a less favorable pulmonary vasculature for a complete Fontan-type operation. ? 2006 The Society of Thoracic Surgeons. | - |
dc.relation.ispartof | Annals of Thoracic Surgery | - |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | aorta; aorta arch; artery; artery bypass; artery diameter; article; collateral circulation; congestive heart failure; controlled study; descending aorta; disease association; female; Fontan procedure; heart disease; heart right atrium; human; lower respiratory tract; lower respiratory tract infection; lung atresia; lung circulation; major aortopulmonary collateral artery; major clinical study; male; preschool child; priority journal; pulmonary artery; pulmonary valve stenosis; right atrium isomerism; surgical mortality; thoracic aorta; Abnormalities, Multiple; Adolescent; Adult; Aorta; Arteriovenous Shunt, Surgical; Blood Pressure; Body Patterning; Child; Child, Preschool; Cohort Studies; Collateral Circulation; Embolization, Therapeutic; Female; Fontan Procedure; Heart Defects, Congenital; Heart Failure, Congestive; Humans; Hypertension, Pulmonary; Infant; Infant, Newborn; Life Tables; Male; Palliative Care; Postoperative Complications; Prevalence; Pulmonary Artery; Pulmonary Atresia; Pulmonary Circulation; Pulmonary Valve Stenosis; Pulmonary Veins; Retrospective Studies; Treatment Outcome; Venae Cavae | - |
dc.title | Clinical Implications of Major Aortopulmonary Collateral Arteries in Patients With Right Isomerism | en_US |
dc.type | journal article | en |
dc.identifier.doi | 10.1016/j.athoracsur.2006.02.020 | - |
dc.identifier.pmid | 16798206 | - |
dc.identifier.scopus | 2-s2.0-33745199826 | - |
dc.relation.pages | 153-157 | - |
dc.relation.journalvolume | 82 | - |
dc.relation.journalissue | 1 | - |
item.cerifentitytype | Publications | - |
item.fulltext | no fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.openairetype | journal article | - |
item.grantfulltext | none | - |
crisitem.author.dept | Pediatrics-NTUH | - |
crisitem.author.dept | Pediatrics | - |
crisitem.author.dept | Pediatrics-NTUH | - |
crisitem.author.dept | Pediatrics-NTUH | - |
crisitem.author.dept | Pediatrics | - |
crisitem.author.dept | Pediatrics | - |
crisitem.author.dept | Pediatrics-NTUH | - |
crisitem.author.dept | Pediatrics | - |
crisitem.author.dept | Pediatrics-NTUH | - |
crisitem.author.dept | Pediatrics | - |
crisitem.author.dept | Clinical Pharmacy | - |
crisitem.author.dept | Pediatrics-NTUH | - |
crisitem.author.orcid | 0000-0002-3043-3873 | - |
crisitem.author.orcid | 0000-0002-1718-7137 | - |
crisitem.author.orcid | 0000-0002-1463-8721 | - |
crisitem.author.orcid | 0000-0001-5559-1651 | - |
crisitem.author.orcid | 0000-0001-8880-7113 | - |
crisitem.author.orcid | 0000-0002-7074-8087 | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
顯示於: | 醫學系 |
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