{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T21:25:48Z","timestamp":1773005148243,"version":"3.50.1"},"reference-count":21,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T00:00:00Z","timestamp":1696896000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951123003323_as1\"><jats:title>Objective:<\/jats:title><jats:p>Patients with complete atrioventricular canal have a variable clinical course prior to repair. Many patients balance their circulations well prior to elective repair. Others manifest clinically significant pulmonary over circulation early in life and require either palliative pulmonary artery banding or complete repair. The objective of this study was to assess anatomic features that impact the clinical course of patients.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951123003323_as2\"><jats:title>Methods:<\/jats:title><jats:p>In total, 222 patients underwent complete atrioventricular canal repair between 2012 and 2022 at a single institution. Twenty-seven (12%) patients underwent either pulmonary artery banding (n = 15) or complete repair (n = 12) at less than 3 months of age (Group 1). The remaining 195 (88%) underwent repair after 3 months of age (Group 2). Patient records and imaging were reviewed.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951123003323_as3\"><jats:title>Results:<\/jats:title><jats:p>The median post-operative length of stay following complete repair was 25 [7,46] days for those patients in Group 1 and 7 [5,12] days for those in Group 2 (p &lt; 0.0001). There was relative hypoplasia of left-sided structures in Group 1 versus Group 2. Mean z-score for the ascending aorta was \u22121.2 (\u00b10.8) versus \u22120.3 (\u00b10.9) (p &lt; 0.0001), the aortic isthmus was \u22122.1 (\u00b10.8) versus \u22121.4 (\u00b10.8) (p = 0.005). The pulmonary valve to aortic valve diameter ratio was median 1.47 [1.38,1.71] versus 1.38 [1.17,1.53] (p 0.008).<\/jats:p><\/jats:sec><jats:sec id=\"S1047951123003323_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>Echocardiographic evaluation of the systemic and pulmonary outflow of patients with complete atrioventricular canal may assist in predicting the clinical course and need for early repair vs pulmonary artery banding.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951123003323","type":"journal-article","created":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T09:58:44Z","timestamp":1696931924000},"page":"754-758","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Anatomic considerations in the management of complete atrioventricular canal"],"prefix":"10.1017","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2315-1544","authenticated-orcid":false,"given":"Luke M.","family":"Wiggins","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuo","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Winfield","family":"Wells","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vaughn","family":"Starnes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John D.","family":"Cleveland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,10,10]]},"reference":[{"key":"S1047951123003323_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.11.017"},{"key":"S1047951123003323_ref3","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezt444"},{"key":"S1047951123003323_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(97)00190-5"},{"key":"S1047951123003323_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.05.095"},{"key":"S1047951123003323_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.01.063"},{"key":"S1047951123003323_ref12","doi-asserted-by":"publisher","DOI":"10.1053\/j.pcsu.2007.01.009"},{"key":"S1047951123003323_ref17","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198905000-00018"},{"key":"S1047951123003323_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2010.03.047"},{"key":"S1047951123003323_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(99)00360-7"},{"key":"S1047951123003323_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2015.05.011"},{"key":"S1047951123003323_ref7","doi-asserted-by":"publisher","DOI":"10.1053\/j.pcsu.2007.01.005"},{"key":"S1047951123003323_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2019.09.019"},{"key":"S1047951123003323_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.04.109"},{"key":"S1047951123003323_ref16","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.43.3.395"},{"key":"S1047951123003323_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2020.07.106"},{"key":"S1047951123003323_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(02)00760-1"},{"key":"S1047951123003323_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.06.029"},{"key":"S1047951123003323_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.06.008"},{"key":"S1047951123003323_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2022.12.040"},{"key":"S1047951123003323_ref11","doi-asserted-by":"publisher","DOI":"10.1053\/j.semtcvs.2007.07.006"},{"key":"S1047951123003323_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2018.02.086"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951123003323","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T11:31:22Z","timestamp":1713180682000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951123003323\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,10]]},"references-count":21,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["S1047951123003323"],"URL":"https:\/\/doi.org\/10.1017\/s1047951123003323","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,10]]},"assertion":[{"value":"\u00a9 The Author(s), 2023. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence (http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is used to distribute the re-used or adapted article and the original article is properly cited. The written permission of Cambridge University Press must be obtained prior to any commercial use.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}