Alyssa B Kalustian, Raymond A Lopez, Tam T Doan, Richard C Tang, Rocky Tsang, Heather Dickerson, Christopher A Caldarone, Athar M Qureshi, Silvana Molossi, E Dean McKenzie, Iki Adachi, Ziyad M Binsalamah
BACKGROUND: We describe outcomes and management strategies for single ventricle and bilaterally discontinuous pulmonary arteries (PAs) originating from bilateral ductus arteriosus. METHODS: We reviewed 22 patients with aforementioned anatomy and PA centralization from 1995-2023, excluding those with biventricular repair. RESULTS: Median age at centralization was 9 days (range 0 days-2 years). Centralization was performed with systemic-to-pulmonary shunt (n=20, 91%; 2 following bilateral ductal stents) or bidirectional cavopulmonary connection (n=2, 9%) via pericardial roll (n=14, 64%), patch-augmented direct anastomosis (n=7, 32%), and interposition graft (n=1, 5%) techniques...
May 10, 2024: Annals of Thoracic Surgery