{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T21:30:14Z","timestamp":1793914214654,"version":"4.8.0"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T00:00:00Z","timestamp":1738195200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T00:00:00Z","timestamp":1738195200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100012330","name":"Okayama University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100012330","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Cardiol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    We reviewed the outcomes of truncus arteriosus repair (primary vs. staged repair incorporating bilateral pulmonary artery banding), focusing on survival, reintervention, and functional data. We analyzed 39 patients who underwent a first intervention for truncus arteriosus (staged, n\u2009=\u200919; primary, n\u2009=\u200920) between 1992 and 2022. The median follow-up period was 8.0 (2.2\u201313.2) years. Survival, freedom from reoperation, and freedom from catheter intervention were estimated using the Kaplan\u2013Meier method. High-risk patients were defined as those with a weight\u2009\u2264\u20092.5\u00a0kg,\u2009\u2265\u2009moderate truncal valve regurgitation, interrupted aortic arch, or preoperative shock. In the staged group, patients with a median weight of 2.6\u00a0kg had a median intensive care unit stay of 5\u00a0days and no hospital mortality after bilateral pulmonary artery banding. At repair, the staged group had a larger conduit for the right ventricular outflow tract (14 vs. 12\u00a0mm;\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u2009.008). Catheter intervention on the branch pulmonary artery was required in 67% of patients in the staged group, but right ventricular end-diastolic pressure at follow-up was comparable between the groups (\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u2009.541). Survival rates were higher among high-risk patients in the staged group (87.5% vs. 21.4% at 15\u00a0years;\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u2009.004) but were comparable between groups for standard-risk patients (\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u20091.000). Bilateral pulmonary artery banding was a safe, effective procedure. Reintervention for branch pulmonary artery was common but did not affect functional outcomes. Staged repair may play a pivotal role regarding survival in high-risk patients, and risk stratification is vital.\n                  <\/jats:p>","DOI":"10.1007\/s00246-025-03790-z","type":"journal-article","created":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T09:53:50Z","timestamp":1738230830000},"page":"514-522","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Management Strategies for Truncus Arteriosus: A Comparative Analysis of Staged vs. Primary Repair"],"prefix":"10.1007","volume":"47","author":[{"given":"Yasuyuki","family":"Kobayashi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunji","family":"Sano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuto","family":"Narumiya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayari","family":"Kimura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Etsuji","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shingo","family":"Kasahara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiro","family":"Kotani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,30]]},"reference":[{"key":"3790_CR1","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1016\/s0003-4975(01)02796-5","volume":"72","author":"LD Thompson","year":"2001","unstructured":"Thompson LD, McElhinney DB, Reddy VM, Petrossian E, Silverman NH, Hanley FL (2001) Neonatal repair of truncus arteriosus: continuing improvement in outcomes. Ann Thorac Surg 72:391\u2013395. https:\/\/doi.org\/10.1016\/s0003-4975(01)02796-5","journal-title":"Ann Thorac Surg"},{"key":"3790_CR2","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1016\/j.athoracsur.2011.04.121","volume":"93","author":"HM Russell","year":"2012","unstructured":"Russell HM, Pasquali SK, Jacobs JP, Jacobs ML, O\u2019Brien SM, Mavroudis C, Backer CL (2012) Outcomes of repair of common arterial trunk with truncal valve surgery: a review of the society of thoracic surgeons congenital heart surgery database. Ann Thorac Surg 93:164\u2013169. https:\/\/doi.org\/10.1016\/j.athoracsur.2011.04.121","journal-title":"Ann Thorac Surg"},{"key":"3790_CR3","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1016\/j.athoracsur.2023.06.017","volume":"117","author":"A Goyal","year":"2024","unstructured":"Goyal A, Knight J, Hasan M, Rao H, Thomas AS, Sarvestani A, St Louis J, Kochilas L, Raghuveer G (2024) Survival after single-stage repair of truncus arteriosus and associated defects. Ann Thorac Surg 117:153\u2013160. https:\/\/doi.org\/10.1016\/j.athoracsur.2023.06.017","journal-title":"Ann Thorac Surg"},{"key":"3790_CR4","doi-asserted-by":"publisher","first-page":"2386","DOI":"10.1016\/j.jtcvs.2018.12.115","volume":"157","author":"CW Mastropietro","year":"2019","unstructured":"Mastropietro CW, Amula V, Sassalos P, Buckley JR, Smerling AJ, Iliopoulos I, Riley CM, Jennings A, Cashen K, Narasimhulu SS et al (2019) Characteristics and operative outcomes for children undergoing repair of truncus arteriosus: a contemporary multicenter analysis. J Thorac Cardiovasc Surg 157:2386\u201398.e4. https:\/\/doi.org\/10.1016\/j.jtcvs.2018.12.115","journal-title":"J Thorac Cardiovasc Surg"},{"key":"3790_CR5","doi-asserted-by":"publisher","first-page":"630","DOI":"10.1016\/j.athoracsur.2019.11.023","volume":"110","author":"JL Herrmann","year":"2020","unstructured":"Herrmann JL, Larson EE, Mastropietro CW, Rodefeld MD, Turrentine MW, Nozaki R, Brown JW (2020) Right ventricular outflow tract reconstruction in infant truncus arteriosus: a 37-year experience. Ann Thorac Surg 110:630\u2013637. https:\/\/doi.org\/10.1016\/j.athoracsur.2019.11.023","journal-title":"Ann Thorac Surg"},{"issue":"20","key":"3790_CR6","doi-asserted-by":"publisher","first-page":"31137","DOI":"10.1016\/j.jtcvs.2020.04.149","volume":"S0022\u20135223","author":"PS Naimo","year":"2020","unstructured":"Naimo PS, Bell D, Fricke TA, d\u2019Udekem Y, Brizard CP, Alphonso N, Konstantinov IE (2020) Truncus arteriosus repair: a 40-year multicenter perspective. J Thorac Cardiovasc Surg S0022\u20135223(20):31137\u201331145. https:\/\/doi.org\/10.1016\/j.jtcvs.2020.04.149","journal-title":"J Thorac Cardiovasc Surg"},{"key":"3790_CR7","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1016\/j.jtcvs.2021.01.136","volume":"163","author":"A Guariento","year":"2022","unstructured":"Guariento A, Doulamis IP, Staffa SJ, Gellis L, Oh NA, Kido T, Mayer JE, Baird CW, Emani SM, Zurakowski D et al (2022) Long-term outcomes of truncus arteriosus repair: a modulated renewal competing risks analysis. J Thorac Cardiovasc Surg 163:224\u201336.e6. https:\/\/doi.org\/10.1016\/j.jtcvs.2021.01.136","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"suppl","key":"3790_CR8","first-page":"102","volume":"29","author":"A Heilbrunn","year":"1964","unstructured":"Heilbrunn A, Kittle CF, Diehl AM (1964) Pulmonary arterial banding in the treatment of truncus arteriosus. Circulation 29(suppl):102\u2013107","journal-title":"Circulation"},{"key":"3790_CR9","doi-asserted-by":"publisher","first-page":"787","DOI":"10.1093\/ejcts\/ezab348","volume":"61","author":"N Ota","year":"2022","unstructured":"Ota N, Tachimori H, Hirata Y, Miyata H, Suzuki T, Uchita S, Takamoto S, Izutani H (2022) Contemporary patterns of the management of truncus arteriosus (primary versus staged repair): outcomes from the Japanese National Cardiovascular Database. Eur J Cardiothorac Surg 61:787\u2013794. https:\/\/doi.org\/10.1093\/ejcts\/ezab348","journal-title":"Eur J Cardiothorac Surg"},{"key":"3790_CR10","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1016\/j.echo.2010.03.019","volume":"23","author":"L Lopez","year":"2010","unstructured":"Lopez L, Colan SD, Frommelt PC, Ensing GJ, Kendall K, Younoszai AK, Lai WW, Geva T (2010) Recommendations for quantification methods during the performance of a pediatric echocardiogram: a report from the pediatric measurements writing group of the American Society of Echocardiography Pediatric and Congenital Heart Disease Council. J Am Soc Echocardiogr 23:465\u2013495. https:\/\/doi.org\/10.1016\/j.echo.2010.03.019","journal-title":"J Am Soc Echocardiogr"},{"key":"3790_CR11","unstructured":"Society of Thoracic Surgeons (2018) Congenital heart surgery database v3.3. https:\/\/www.sts.org\/sites\/default\/files\/documents\/Congenital_V3_3_TrainingManual_December2018.pdf. Accessed 5 May 2024."},{"key":"3790_CR12","doi-asserted-by":"publisher","first-page":"1337","DOI":"10.1016\/j.jtcvs.2020.10.161","volume":"162","author":"PS Naimo","year":"2021","unstructured":"Naimo PS, Buratto E, Konstantinov IE (2021) Truncal valve repair in children. J Thorac Cardiovasc Surg 162:1337\u20131342. https:\/\/doi.org\/10.1016\/j.jtcvs.2020.10.161","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"24","key":"3790_CR13","doi-asserted-by":"publisher","first-page":"00085","DOI":"10.1016\/j.jtcvs.2024.01.027","volume":"S0022\u20135223","author":"A Tongut","year":"2024","unstructured":"Tongut A, Ozturk M, Desai M, Hanabergh S, Yerebakan C, d\u2019Udekem Y (2024) Truncal valve surgery during repair of truncus arteriosus and interrupted aortic arch. J Thorac Cardiovasc Surg S0022\u20135223(24):00085. https:\/\/doi.org\/10.1016\/j.jtcvs.2024.01.027","journal-title":"J Thorac Cardiovasc Surg"},{"key":"3790_CR14","unstructured":"Society of Thoracic Surgeons (2020) STS \u2013 European Association for Cardio-Thoracic Surgery congenital heart surgery mortality categories (STAT mortality categories). https:\/\/www.sts.org\/sites\/default\/files\/CHSD%20Appendix%20C%20-%20STAT%20Categories.pdf. Accessed 10 Oct, 2024."},{"key":"3790_CR15","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1016\/s0003-4975(10)64866-7","volume":"13","author":"GA Trusler","year":"1972","unstructured":"Trusler GA, Mustard WT (1972) A method of banding the pulmonary artery for large isolated ventricular septal defect with and without transposition of the great arteries. Ann Thorac Surg 13:351\u2013355. https:\/\/doi.org\/10.1016\/s0003-4975(10)64866-7","journal-title":"Ann Thorac Surg"},{"key":"3790_CR16","doi-asserted-by":"publisher","first-page":"1136","DOI":"10.1016\/j.jtcvs.2023.07.003","volume":"167","author":"Y Kobayashi","year":"2024","unstructured":"Kobayashi Y, Kasahara S, Sano S, Suzuki H, Suzuki E, Yorifuji T, Kotani Y (2024) Staged repair for complete atrioventricular septal defect in patients weighing less than 4.0 kg. J Thorac Cardiovasc Surg 167:1136\u20131144. https:\/\/doi.org\/10.1016\/j.jtcvs.2023.07.003","journal-title":"J Thorac Cardiovasc Surg"},{"key":"3790_CR17","doi-asserted-by":"publisher","first-page":"885","DOI":"10.1016\/j.athoracsur.2013.05.049","volume":"96","author":"RA Russell","year":"2013","unstructured":"Russell RA, Ghanayem NS, Mitchell ME, Woods RK, Tweddell JS (2013) Bilateral pulmonary artery banding as rescue intervention in high-risk neonates. Ann Thorac Surg 96:885\u2013890. https:\/\/doi.org\/10.1016\/j.athoracsur.2013.05.049","journal-title":"Ann Thorac Surg"},{"key":"3790_CR18","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1016\/j.jtcvs.2012.09.063","volume":"145","author":"KJ Guleserian","year":"2013","unstructured":"Guleserian KJ, Barker GM, Sharma MS, Macaluso J, Huang R, Nugent AW, Forbess JM (2013) Bilateral pulmonary artery banding for resuscitation in high-risk, single-ventricle neonates and infants: a single-center experience. J Thorac Cardiovasc Surg 145:206\u2013213. https:\/\/doi.org\/10.1016\/j.jtcvs.2012.09.063","journal-title":"J Thorac Cardiovasc Surg"},{"key":"3790_CR19","doi-asserted-by":"publisher","first-page":"706","DOI":"10.1016\/j.jtcvs.2013.10.038","volume":"147","author":"RR Davies","year":"2014","unstructured":"Davies RR, Radtke WA, Klenk D, Pizarro C (2014) Bilateral pulmonary arterial banding results in an increased need for subsequent pulmonary artery interventions. J Thorac Cardiovasc Surg 147:706\u2013712. https:\/\/doi.org\/10.1016\/j.jtcvs.2013.10.038","journal-title":"J Thorac Cardiovasc Surg"},{"key":"3790_CR20","doi-asserted-by":"publisher","first-page":"973","DOI":"10.1016\/j.ejcts.2009.05.009","volume":"36","author":"T Sakurai","year":"2009","unstructured":"Sakurai T, Kado H, Nakano T, Hinokiyama K, Shiose A, Kajimoto M, Joo K, Ueda Y (2009) Early results of bilateral pulmonary artery banding for hypoplastic left heart syndrome. Eur J Cardiothorac Surg 36:973\u2013979. https:\/\/doi.org\/10.1016\/j.ejcts.2009.05.009","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00246-025-03790-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00246-025-03790-z","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00246-025-03790-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T09:09:32Z","timestamp":1769677772000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00246-025-03790-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,30]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["3790"],"URL":"https:\/\/doi.org\/10.1007\/s00246-025-03790-z","relation":{},"ISSN":["0172-0643","1432-1971"],"issn-type":[{"value":"0172-0643","type":"print"},{"value":"1432-1971","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,30]]},"assertion":[{"value":"8 December 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 January 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 January 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}},{"value":"This study was approved by the hospital\u2019s institutional review board (approval number: 2009\u2013023; approval date: October 23, 2020).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"The requirement for written informed consent was waived due to the study\u2019s retrospective nature.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}}]}}