Progress in Pediatric Cardiology
Volume 26, Issue 2 , Pages 61-64, July 2009

The influence of ventricular morphology and coronary artery dominance and morphology on early mortality in patients with pulmonary atresia and intact ventricular septum

  • Gary K. Lofland

      Affiliations

    • Children's Mercy Hospitals and Clinics, Kansas City, Missouri, United States
    • The Joseph Boon Gregg/Missouri Endowed Chair, United States
    • University of Missouri-Kansas City School of Medicine, United States
    • Corresponding Author InformationCorresponding author. Children's Mercy Hospitals and Clinics, 2401 Gillham Road, Kansas City, Missouri 64108, United States. Tel.: +1 816 234 3580; fax: +1 816 802 1245.
  • ,
  • James E. O'Brien Jr.

      Affiliations

    • Children's Mercy Hospitals and Clinics, Kansas City, Missouri, United States
    • University of Missouri-Kansas City School of Medicine, United States
  • ,
  • Jennifer A. Swihart

      Affiliations

    • Children's Mercy Hospitals and Clinics, Kansas City, Missouri, United States
    • Clinical Research and Development, Cardiovascular Surgery, United States
  • ,
  • Richard E. Stroup

      Affiliations

    • Children's Mercy Hospitals and Clinics, Kansas City, Missouri, United States
    • Heart Center Informatics, Cardiovascular Surgery, United States
  • ,
  • Stephen F. Kaine

      Affiliations

    • Children's Mercy Hospitals and Clinics, Kansas City, Missouri, United States
    • University of Missouri-Kansas City School of Medicine, United States

Abstract 

Coronary artery abnormalities are known to be present in a certain percentage of patients presenting with pulmonary atresia and intact ventricular septum. These abnormalities range in severity from small fistulae to complete right ventricular dependence of components in the coronary circulation. These abnormalities are known to complicate therapy preoperatively, during palliation, and during definitive correction. This study will explore the influence of right ventricular morphology and coronary artery dominance and morphology on early mortality in infants with pulmonary atresia and intact ventricular septum, something which has not been previously explored.

Keywords: Ventricular morphology, Coronary artery, Pulmonary atresia, Congenital heart disease

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PII: S1058-9813(09)00003-4

doi:10.1016/j.ppedcard.2009.04.004

Progress in Pediatric Cardiology
Volume 26, Issue 2 , Pages 61-64, July 2009