caa a22 4500 445825685 CHVBK 20180317145258.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00246-011-9924-9 doi (NATIONALLICENCE)springer-10.1007/s00246-011-9924-9 Tricuspid Valve Repair in Hypoplastic Left Heart Syndrome [Elektronische Daten] [Diana Dinh, James Gurney, Janet Donohue, Edward Bove, Jennifer Hirsch, Eric Devaney, Richard Ohye] Tricuspid valve regurgitation (TR) remains an obstacle for staged palliation of hypoplastic left heart syndrome (HLHS). Because previous results from our institution suggested that posterior leaflet obliteration (PLO) is effective in tricuspid valve repair (TVR), we preferentially used this method. This report analyzes the effect of this preference on repair success and patient survival. All HLHS patients with 3-4+ preoperative TR undergoing TVR between 2002 and 2007 were retrospectively analyzed. Clinical and echocardiographic data were used to determine outcomes. Seventy-one percent (17 of 24) of patients had success at early outcome; the remaining 29% experienced early failure. Sixty-three percent (15 of 24) of patients demonstrated success at late outcome. Early outcome status was found to be a predictor of late outcome status (OR 22.9, P=0.0037). Overall survival was 71% (17 of 24). Survival could not be shown to be associated with early or late outcome status (odds ratio=0.96). A preference for PLO was found to give improved, long-lasting results for HLHS patients. Success at immediate outcome was predictive of success with time. PLO has the advantage of being simple and reproducible and produces good outcomes in this challenging group. Continued follow-up will be necessary to confirm long-term outcomes. Springer Science+Business Media, LLC, 2011 Annuloplasty nationallicence Hypoplastic left heart syndrome nationallicence Tricuspid valve nationallicence Dinh Diana Section of Cardiac Surgery, Division of Pediatric Cardiovascular Surgery, University of Michigan Medical School, Ann Arbor, MI, USA aut Gurney James Section of Cardiac Surgery, Division of Pediatric Cardiovascular Surgery, University of Michigan Medical School, Ann Arbor, MI, USA aut Donohue Janet Michigan Congenital Heart Outcomes Research and Discovery, Division of Pediatric Cardiology, University of Michigan Medical School, Ann Arbor, MI, USA aut Bove Edward Section of Cardiac Surgery, Division of Pediatric Cardiovascular Surgery, University of Michigan Medical School, Ann Arbor, MI, USA aut Hirsch Jennifer Section of Cardiac Surgery, Division of Pediatric Cardiovascular Surgery, University of Michigan Medical School, Ann Arbor, MI, USA aut Devaney Eric Section of Cardiac Surgery, Division of Pediatric Cardiovascular Surgery, University of Michigan Medical School, Ann Arbor, MI, USA aut Ohye Richard Section of Cardiac Surgery, Division of Pediatric Cardiovascular Surgery, University of Michigan Medical School, Ann Arbor, MI, USA aut Pediatric Cardiology Springer-Verlag 32/5(2011-06-01), 599-606 0172-0643 32:5<599 2011 32 246 https://doi.org/10.1007/s00246-011-9924-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00246-011-9924-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dinh Diana Section of Cardiac Surgery, Division of Pediatric Cardiovascular Surgery, University of Michigan Medical School, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Gurney James Section of Cardiac Surgery, Division of Pediatric Cardiovascular Surgery, University of Michigan Medical School, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Donohue Janet Michigan Congenital Heart Outcomes Research and Discovery, Division of Pediatric Cardiology, University of Michigan Medical School, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Bove Edward Section of Cardiac Surgery, Division of Pediatric Cardiovascular Surgery, University of Michigan Medical School, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Hirsch Jennifer Section of Cardiac Surgery, Division of Pediatric Cardiovascular Surgery, University of Michigan Medical School, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Devaney Eric Section of Cardiac Surgery, Division of Pediatric Cardiovascular Surgery, University of Michigan Medical School, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Ohye Richard Section of Cardiac Surgery, Division of Pediatric Cardiovascular Surgery, University of Michigan Medical School, Ann Arbor, MI, USA aut NATIONALLICENCE 773 0- Pediatric Cardiology Springer-Verlag 32/5(2011-06-01), 599-606 0172-0643 32:5<599 2011 32 246 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer