Selective Vagal Denervation of the Atria Eliminates Heart Rate Variability and Baroreflex Sensitivity While Preserving Ventricular Innervation
Key result
Biventricular repair for double-outlet right ventricle achieved a 10-year actuarial survival of 86% and freedom from repeat operation of 62%.
Population
154 consecutive patients with double-outlet right ventricle undergoing biventricular repair, median age 10…
Design
Cohort
Follow-up
median 52 months
Authors
Discussion
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Member takes
Implication
Supports biventricular repair for DORV with favorable survival; extends single-center data but leaves reoperation reduction open.
Study Design
Type
Cohort (n=154)
Structured PICO
P
Population
154 consecutive patients with double-outlet right ventricle undergoing biventricular repair, median age 10 months, median weight 6.5 kg.
I
Intervention
Biventricular repair (intraventricular baffle repair [n=115] or arterial switch operation with VSD-to-pulmonary artery baffle [n=39])
O
Outcome
Death and repeat operationhard clinical
Biventricular repair for double-outlet right ventricle yields good long-term survival, though repeat operations are common and congenital mitral valve anomalies increase early mortality risk.
Cite This Study
Chiou et al. (1998) conducted a cohort in double-outlet right ventricle (n=154). Biventricular repair was evaluated on 10-year actuarial survival (95% CI 83 to 89). Biventricular repair for double-outlet right ventricle achieved a 10-year actuarial survival of 86% and freedom from repeat operation of 62%.