{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T02:50:31Z","timestamp":1782269431930,"version":"3.54.5"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2020,8,18]],"date-time":"2020-08-18T00:00:00Z","timestamp":1597708800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951120002553_as1\"><jats:title>Background:<\/jats:title><jats:p>Pulmonary atresia with ventricular septal defect and severe tetralogy of Fallot require a palliative procedure for pulmonary artery rehabilitation. For first-stage palliation, two main surgical options are still debated: right ventricle to pulmonary artery connection and modified Blalock\u2013Taussig shunt. We compared the clinical outcomes of the two procedures.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120002553_as2\"><jats:title>Methods:<\/jats:title><jats:p>From 1995 to 2018, 88 patients needed palliation (pulmonary atresia with ventricular septal defect n = 47; tetralogy of Fallot n = 41). Among these patients, 70 modified Blalock\u2013Taussig shunt and 18 transannular path augmentation were performed before 6 months of age. Using a 1:1 propensity score match analysis, 20 patients were included in the analysis. The primary outcome was in-hospital mortality and pulmonary artery growth.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120002553_as3\"><jats:title>Results:<\/jats:title><jats:p>After matching, the pre-operative Nakata was smaller in transannular path augmentation 54 \u00b1 24 mm<jats:sup>2<\/jats:sup>\/m<jats:sup>2<\/jats:sup> than modified Blalock\u2013Taussig shunt 109 \u00b1 31 mm<jats:sup>2<\/jats:sup>\/m<jats:sup>2<\/jats:sup> (p &lt; 0.001). The age and weight were similar (p = 0.31 and p = 0.9, respectively). There was no difference in in-hospital mortality (p = 0.3). The Nakata index before biventricular repair and delta Nakata were smaller in modified Blalock\u2013Taussig shunt group (206 \u00b1 80 mm<jats:sup>2<\/jats:sup>\/m<jats:sup>2<\/jats:sup>, 75 \u00b1 103 mm<jats:sup>2<\/jats:sup>\/m<jats:sup>2<\/jats:sup>) than transannular path augmentation (365 \u00b1 170 mm<jats:sup>2<\/jats:sup>\/m<jats:sup>2<\/jats:sup>, 214 \u00b1 165 mm<jats:sup>2<\/jats:sup>\/m<jats:sup>2<\/jats:sup>; p = 0.03; p &lt; 0.001). Median time to biventricular repair was similar (p = 0.46). The rate of interstage reintervention was similar (p = 0.63).<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120002553_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>The transannular path augmentation is better for the rehabilitation of the native pulmonary artery. Despite a smaller pulmonary artery, right ventricle to pulmonary artery connection is equivalent to modified Blalock\u2013Taussig shunt for rate of biventricular repair and time to biventricular repair.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951120002553","type":"journal-article","created":{"date-parts":[[2020,8,18]],"date-time":"2020-08-18T13:57:56Z","timestamp":1597759076000},"page":"1679-1687","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Pulmonary atresia with ventricular septal defect and tetralogy of Fallot: transannular path augmentation versus systemic to pulmonary artery shunt for first-stage palliation"],"prefix":"10.1017","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0272-5753","authenticated-orcid":false,"given":"Marien","family":"Lenoir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginie","family":"Fouilloux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatrice","family":"Desnous","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilal","family":"Rahmani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nabila","family":"El Gueddari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Ovaert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edouard","family":"Aries","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fedoua","family":"El Louali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Aldebert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique","family":"Metras","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loic","family":"Mac\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2020,8,18]]},"reference":[{"key":"S1047951120002553_ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-017-1570-4"},{"key":"S1047951120002553_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.08.082"},{"key":"S1047951120002553_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.12.049"},{"key":"S1047951120002553_ref30","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(90)90026-3"},{"key":"S1047951120002553_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)00461-5"},{"key":"S1047951120002553_ref13","first-page":"446","article-title":"Rehabilitation of hypoplastic pulmonary arteries and anatomic correction of pulmonary atresia with interventricular communication","volume":"94","author":"Chetaille","year":"2001","journal-title":"Arch Mal Coeur Vaiss"},{"key":"S1047951120002553_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)00144-7"},{"key":"S1047951120002553_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2011.05.010"},{"key":"S1047951120002553_ref33","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2017.06.028"},{"key":"S1047951120002553_ref32","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/685735"},{"key":"S1047951120002553_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.10.033"},{"key":"S1047951120002553_ref14","first-page":"422","article-title":"Rehabilitation of hypoplastic pulmonary arteries in pulmonary atresia with ventricular septal defect. Medium term results","volume":"100","author":"Schouvey","year":"2007","journal-title":"Arch Mal Coeur Vaiss"},{"key":"S1047951120002553_ref1","doi-asserted-by":"publisher","DOI":"10.1177\/2150135119884914"},{"key":"S1047951120002553_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)37668-8"},{"key":"S1047951120002553_ref24","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0912461"},{"key":"S1047951120002553_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(01)00855-7"},{"key":"S1047951120002553_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.06.023"},{"key":"S1047951120002553_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.06.016"},{"key":"S1047951120002553_ref29","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezt622"},{"key":"S1047951120002553_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38300-X"},{"key":"S1047951120002553_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)64631-0"},{"key":"S1047951120002553_ref21","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezx194"},{"key":"S1047951120002553_ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2005.10.068"},{"key":"S1047951120002553_ref17","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezt401"},{"key":"S1047951120002553_ref4","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.88.4.1691"},{"key":"S1047951120002553_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2012.08.003"},{"key":"S1047951120002553_ref31","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.92.9.256"},{"key":"S1047951120002553_ref20","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12707"},{"key":"S1047951120002553_ref23","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivu052"},{"key":"S1047951120002553_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2005.10.068"},{"key":"S1047951120002553_ref9","first-page":"34","article-title":"Effect of Blalock Taussig shunt on clinical parameters, left ventricular function and pulmonary arteries","volume":"41","author":"Kulkarni","year":"1995","journal-title":"J Postgrad Med"},{"key":"S1047951120002553_ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.03.019"},{"key":"S1047951120002553_ref5","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12516"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951120002553","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,21]],"date-time":"2020-12-21T11:29:50Z","timestamp":1608550190000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951120002553\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,18]]},"references-count":33,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["S1047951120002553"],"URL":"https:\/\/doi.org\/10.1017\/s1047951120002553","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,18]]},"assertion":[{"value":"\u00a9 The Author(s), 2020. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}