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| 1 | 对于室间隔缺损合并肺动脉闭锁的患儿,与死亡、再次手术和获得完全修复相关的独立因素显示文摘OBJECTIVES:We described morphologic characteristics, particularly pulmonary an atomy, and determined the prevalence of definitive end states and their determin ants in children with pulmonary atresia associated with ventricular septal defec t(PAVSD). BACKGROUND: Pulmonary atresia associated with ventricular septal defec t represents a broad morphologic spectrum that greatly influences management and outcomes. METHODS: From 1975 to 2004, 220 children with PAVSD presented to our institution. Blinded angiographic review(n=171) characterized bronchopulmonary s egment arterial supply. RESULTS:A total of 185 patients underwent surgery,and re pair was definitive in 75%. Initial operations included systemic-pulmonary art ery shunt in 57%, complete primary repair in 31%, or right ventricular outflow tract reconstruction in 12%. Based on angiographic review,118 patients had sim ple PAVSD and 53 patients had PAVSD with major aortopulmonary collateral arterie s(MAPCAs). Overall survival from initial operation was 71%at 10 years. Risk fac tors for death after initial operation included younger age at repair, earlier b irth cohort, fewer bronchopulmonary segments supplied by native pulmonary arteri es, and initial placement of a systemic-pulmonary artery shunt. Competing risks analysis for initially palliated patients predicted that after 10 years, 68%ac hieved complete repair(with associated factors including later birth cohort and more bronchopulmonary segments supplied by native pulmonary arteries), 22%died without repair, and 10%remained alive without repair. Reoperations after comple te repair occurred in 38 children(27%), with risk factors including older age a t palliation, MAPCAs, and more segments supplied by collaterals. CONCLUSIONS: Ou tcomes in children with PAVSD have improved over time, and are better in complet ely repaired cases. Bronchopulmonary arterial supply is an important determinant of mortality, achievement of definitive repair, and post-repair reoperation. | Amark K.M. Karamlou T. O'Carroll A. B.W.McCrindle 田志 | 2006 | 世界核心医学期刊文摘(心脏病学分册)2006,2,9: | 4 |
| 2 | Women wishing to be delivered by cesarean section, anxiety, risk-thinking and shame common according to a qualitative study显示文摘 | Amark H Ryding E L | 2007 | Lakartidningen2007,104,12: | 1 |
| 3 | Myocardial metabolism is better preserved after blood cardioplegia in infants 显示文摘 | Amark K Berggren H Bj/Srk K | 2006 | Ann Thorac Surg2006,82,1: | 1 |
| 4 | Blood cardioplegia provides superior protection in infant cardiac surgery 显示文摘 | Amark K Berggren H Bjsrk K | 2005 | Ann Thorae Surg2005,80,3: | 1 |
| 5 | Independent factors associated with mortality,reintervention,and achievement of complete repair in children with pulmonary atresia with ventricular septal defect显示文摘 | Amark KM Karamlou T O Carroll A | 2006 | J Am Coll Cardiol2006,47,7: | 1 |
| 6 | Independent factors associated with mortality reintervention,and achievement of complete repair in children with pulmonary atresia with ventricular septaldefect显示文摘 | Amark KM Karamlou T O'Carroll A | | 0,,07: | 1 |
| 7 | Myocardial metabo- lism is better preserved after blood cardioplegia in infants 显示文摘 | Amark K Berggren H Bjork K | 2006 | Arm Thorac Surg2006,82,1: | 1 |
| 8 | Reduction of sei-zures with low-dose clonazepam in children with epilep-sy显示文摘 | Dahlin MG Amark PE Nerg rdh AR | 2003 | Pediatr Neurol2003,28,1: | 1 |
| 9 | Optimal clinical management of children receiving the ketogenic diet:recommendations of the International Ketogenic Diet Study Group显示文摘 | KOSSOFF E H ZUPEE-KANIA B A AMARK P E | 2009 | Epilepsia2009,50,2: | 1 |
| 10 | Influence of the ketogenic diet on 24-hour electroencephalogram in children with epilep- sy 显示文摘 | Remahl S Dahlin MG Amark PE | 2008 | Pediatr Neural2008,38,1: | 1 |
| 11 | Influence of the ketogenic diet on 24-hour electroencephalogram in children with epilepsy显示文摘 | Remahl S Dahlin MG Amark PE | 2009 | Pediatr Neurol2009,38,1: | 1 |
| 12 | Influence of the ketogenic diet on 24-hour electroencephalogram in children with epilepsy显示文摘 | Remahl S Dahlin MG Amark PE | 2008 | Pediatr Neurol2008,38,1: | 1 |
| 13 | Continuous EEG monitoring in a pediatric intensive care unit显示文摘 | Hyllienmark L Amark P | 2007 | Eur J Paediatr Neurol2007,11,2: | 1 |
| 14 | Optimal clinical management of children receiving the ketogenic diet: recommendations of the International Ketogenic Diet Study Group 显示文摘 | Kossoff EH Zupec-Kania BA Amark PE | 2009 | Epilepsia2009,50,: | 1 |
| 15 | Optimal clinical management of children receiving the ketogenic diet:recommendations of the International Ketogenic Diet Study Group显示文摘 | Kossoff EH Zupec-Kania BA Amark PE | | 0,,02: | 1 |
| 16 | Myocardial metabolism is better preserved after blood cardioplegin in infants显示文摘 | Amark K Berggren H Bjork K | 2006 | Ann Thorac Surg2006,82,1: | 1 |
| 17 | Continuous EEG monitoring in a paediatricintensive care显示文摘 | Hynienmark L Amark P | 2007 | Eur J Paediatric Neurol2007,11,: | 1 |
| 18 | Optimal clinical management of children receiving the ketogenic diet:recommendations of the International Ketogenic Diet Study Group显示文摘 | Kossoff EH Zupec-Kania BA Amark PE | | 0,,02: | 1 |
| 19 | Independent factors associated with mortality, reintervention, and achievement of com- plete repair in children with pulmonary atresia with ventricular septal defect显示文摘 | Amark KM Karamlou T O' Carroll A | 2006 | J Am Coil Cardiol2006,47,7: | 1 |
| 20 | Optimal clinical management of children receiving the ketogenic diet: recommendations of the International Ketogenic Diet Study Group显示文摘 | Kossoff EH Zupec-Kania BA Amark PE | 2009 | Epilepsia2009,50,2: | 1 |