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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 | Outcomes after late reoperation in patients with repaired tetralogy of Fallot:the impact of arrhythmia and arrhythmia surgery显示文摘 | Karamlou T Silber I Lao R | | 0，，05： | 1 |
| 3 | Management and Outcomes of Double Aortic Arch in 81 Patients显示文摘 | Alsenaidi K Gurofsky R Karamlou T | 2006 | Pediatrics2006，118，5： | 1 |
| 4 | Factors associated with mortality and reoperation in 377 children with total anomalous pulmonary venous connection 显示文摘 | Karamlou T Gurofsky R A1 Sukhni E | 2007 | Circulation2007，115，12： | 1 |
| 5 | Effects of circuit miniaturization in reducing inflammatory response to infant eardiopulmongry bypass by elimination of allogeneic blood products显示文摘 | Karamlou T You J | 2006 | Ann Thorac Surg2006，81，6： | 1 |
| 6 | Surgical management of aortopulmonary window associated with interrupted aortic arch:A Congenital Heart Surgeons Society study显示文摘 | Konstantinov I E Karamlou T Williams W G | | 0，，05： | 1 |
| 7 | Factors Associated With Mortality and Reoperation in 377 Children With Total Anomalous Pulmonary Venous Connection显示文摘 | Tara Karamlou Rebecca Gurofsky Eisar Al Sukhni John G. Coles William G. Williams Christopher A. Caldarone Glen S. Van Arsdell Brian W. McCrindle | 2007 | Circulation2007，，12： | 1 |
| 8 | Meta-analysis of sentinel lymph node biopsy in breast cancer 显示文摘 | Mihenburg DM Miller C Karamlou TB | 1999 | J Surg Res1999，84，2： | 1 |
| 9 | 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 |
| 10 | 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 |
| 11 | Determinants of repair type, reintervention, and mortality in 393 children with double- outlet right ventricle显示文摘 | Bradley TJ Karamlou T Kulik A | 2007 | J Thorac Cardiovasc Surg2007，134，4： | 1 |
| 12 | Hypothennie low flow cardiopulmonary bypass impairs pulmonary and right ventricular functionmorethan circulatory arrest显示文摘 | Karamlou T Swanson J | 2006 | Ann Thorac Surg2006，81，2： | 1 |
| 13 | The influence of valve physiology on outcome following aortic valvotomy for con- genital bicuspid valve in children:30-year results from a single institution 显示文摘 | Karamlou T Shen I Alsoufia B | 2005 | Eur J Cardiothorac Surg2005，27，1： | 1 |
| 14 | The rush to atrial septal defect closure:is the introduction of percutaneous closure driving utilization?显示文摘 | Karamlou T Diggs BS Ungerleider RM | 2008 | Ann Thorac Surg2008，86，5： | 1 |
| 15 | Results of concomitant aortic valve replacement and coronary artery bypass grafting in the VA population显示文摘 | Alsoufi B Karamlou T Slater M | 2006 | J Heartalve Dis2006，15，1： | 1 |
| 16 | Mortality rate is not a valid indicator of quality differences between pediatric cardiac surgical programs显示文摘 | Welke KF Karamlou T Ungerleider RM | 2010 | Ann Thorae Surg2010，89，1： | 1 |
| 17 | Continuous renal replacement therapy with an automated monitor is superior to a free-flow system during extracorporeal life support 显示文摘 | Symons JM McMahon MW Karamlou T | 2013 | Pediatr Crit Care Med2013，14，9： | 1 |
| 18 | Meta-analysis of sentinel lymph node biopsy in breast cancer显示文摘 | Miltenburg DM Miller C Karamlou TB et a1 | 1999 | J Surg Res1999，84，2： | 1 |
| 19 | Surgical repair of multiple muscular ventricular septal defects:the role of re-endocar-dialization strategy显示文摘 | Alsoufi B Karamlou T Osaki M et a1 | 2006 | J Thorac Cardiovasc Surg2006，132，5： | 1 |
| 20 | Factors associated with mortality and reopcration in 377 children with total anomalous pul- monary venous connection 显示文摘 | Karamlou T Gurofsky R Sukhni E | 2007 | Circulation2007，115，12： | 1 |
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