Why the study?
Does bidirectional superior cavopulmonary anastomosis compared to total cavopulmonary connection improve cardiac autonomic tone in patients undergoing univentricular heart repair?
Does bidirectional superior cavopulmonary anastomosis compared to total cavopulmonary connection improve cardiac autonomic tone in patients undergoing univentricular heart repair?
Bidirectional superior cavopulmonary anastomosis with preserved antegrade pulmonary blood flow preserves cardiac autonomic tone better than total cavopulmonary connection in patients undergoing univentricular heart repair.
May favor BDG over TCPC for autonomic tone in univentricular repair; hypothesis-generating and should not change practice without randomized data.
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Madan et al. (2013) studied this question.
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