caa a22 4500 445825030 CHVBK 20180317145256.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s00246-011-9906-y doi (NATIONALLICENCE)springer-10.1007/s00246-011-9906-y Celiac Artery Flow Pattern in Infants with Single Right Ventricle Following the Norwood Procedure with a Modified Blalock-Taussig or Right Ventricle to Pulmonary Artery Shunt [Elektronische Daten] [Jason Johnson, Annette Ansong, Jennifer Li, Mingfen Xu, Jessica Gorentz, David Hehir, Sylvia del Castillo, Wyman Lai, Karen Uzark, Sara Pasquali] A potential advantage of the right ventricle to pulmonary artery versus modified Blalock-Taussig shunt in patients undergoing the Norwood procedure is limitation of diastolic runoff from the systemic to pulmonary circulation. We evaluated mesenteric flow patterns and gastrointestinal outcomes following the Norwood procedure associated with either shunt type. Patients randomized to a right ventricle to pulmonary artery versus modified Blalock-Taussig shunt in the Pediatric Heart Network Single Ventricle Reconstruction Trial at centers participating in this ancillary study were eligible for inclusion; those with active necrotizing enterocolitis, sepsis, or end-organ dysfunction were excluded. Celiac artery flow characteristics and gastrointestinal outcomes were collected at discharge. Forty-four patients (five centers) were included. Median age at surgery was 5days [interquartile range (IQR)=4-8days]. Median celiac artery resistive index (an indicator of resistance to perfusion) was higher in the modified Blalock-Taussig shunt group (n=19) versus the right ventricle to pulmonary artery shunt group (n=25) [1.00 (IQR=0.84-1.14) vs. 0.82 (IQR=0.74-1.00), p=0.02]. There was no difference in interstage weight gain, necrotizing enterocolitis, or feeding intolerance episodes between the groups. The celiac artery resistive index was higher in patients with the modified Blalock-Taussig shunt versus the right ventricle to pulmonary artery shunt but was not associated with measured gastrointestinal outcomes. Springer Science+Business Media, LLC, 2011 Single ventricle nationallicence Norwood procedure nationallicence Mesenteric blood flow nationallicence Johnson Jason Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA aut Ansong Annette Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA aut Li Jennifer Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA aut Xu Mingfen Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA aut Gorentz Jessica Division of Pediatric Cardiology and Pediatric Critical Care Medicine, Department of Pediatrics, Children's Hospital of Wisconsin, Milwaukee, WI, USA aut Hehir David Division of Pediatric Cardiology and Pediatric Critical Care Medicine, Department of Pediatrics, Children's Hospital of Wisconsin, Milwaukee, WI, USA aut del Castillo Sylvia Division of Critical Care Medicine, Departments of Anesthesiology Critical Care Medicine and Pediatrics, Children's Hospital Los Angeles, Los Angeles, CA, USA aut Lai Wyman Division of Pediatric Cardiology, Columbia College of Physicians and Surgeons, New York, NY, USA aut Uzark Karen Division of Pediatric Cardiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA aut Pasquali Sara Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA aut Pediatric Cardiology Springer-Verlag 32/4(2011-04-01), 479-486 0172-0643 32:4<479 2011 32 246 https://doi.org/10.1007/s00246-011-9906-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00246-011-9906-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Johnson Jason Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA aut NATIONALLICENCE 700 1- Ansong Annette Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA aut NATIONALLICENCE 700 1- Li Jennifer Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA aut NATIONALLICENCE 700 1- Xu Mingfen Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA aut NATIONALLICENCE 700 1- Gorentz Jessica Division of Pediatric Cardiology and Pediatric Critical Care Medicine, Department of Pediatrics, Children's Hospital of Wisconsin, Milwaukee, WI, USA aut NATIONALLICENCE 700 1- Hehir David Division of Pediatric Cardiology and Pediatric Critical Care Medicine, Department of Pediatrics, Children's Hospital of Wisconsin, Milwaukee, WI, USA aut NATIONALLICENCE 700 1- del Castillo Sylvia Division of Critical Care Medicine, Departments of Anesthesiology Critical Care Medicine and Pediatrics, Children's Hospital Los Angeles, Los Angeles, CA, USA aut NATIONALLICENCE 700 1- Lai Wyman Division of Pediatric Cardiology, Columbia College of Physicians and Surgeons, New York, NY, USA aut NATIONALLICENCE 700 1- Uzark Karen Division of Pediatric Cardiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA aut NATIONALLICENCE 700 1- Pasquali Sara Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA aut NATIONALLICENCE 773 0- Pediatric Cardiology Springer-Verlag 32/4(2011-04-01), 479-486 0172-0643 32:4<479 2011 32 246 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer