{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T12:20:16Z","timestamp":1763986816910,"version":"3.41.2"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2022,5,28]],"date-time":"2022-05-28T00:00:00Z","timestamp":1653696000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Our goal was to determine the optimal strategy for managing tetralogy of Fallot (TOF) with unbalanced pulmonary artery (PA) branches by investigating the different effects of PA plasty on the development of hypoplastic PA (HPA).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>A single-centre, retrospective analysis was carried out to compare the outcome of different PA plasty methods on the development of HPA in patients with TOF with unbalanced PA branches. Size and balance of the PA branches were used to evaluate the outcome of PA plasty.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>In the NATIVE group, 100% of the HPAs were well-developed and all PA branches became balanced, whereas in the PATCH and EXTENSION groups, the percentage of well-developed HPAs was 40% and 33%, respectively, and none of the PA branches were balanced. In addition, HPAs became atretic in 28% of the patients in the patch enlargement group.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>For TOF with unbalanced PA branches, patch enlargement may not be a good treatment strategy, because it reduces the growth potential of HPA and even causes iatrogenic atresia. Leaving the HPA in the native state without patch enlargement may be a good strategy.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezac326","type":"journal-article","created":{"date-parts":[[2022,5,31]],"date-time":"2022-05-31T20:27:37Z","timestamp":1654028857000},"source":"Crossref","is-referenced-by-count":3,"title":["Patch enlargement may not be a good strategy for treating tetralogy of Fallot with unbalanced pulmonary artery branches"],"prefix":"10.1093","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0073-3867","authenticated-orcid":false,"given":"Botao","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine . 1678 Dongfang Road , Shanghai 200127, People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4528-6850","authenticated-orcid":false,"given":"Zhongqun","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine . 1678 Dongfang Road , Shanghai 200127, People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,5,28]]},"reference":[{"key":"2022062413294553400_ezac326-B1","first-page":"2006","article-title":"Pulmonary perfusion after endovascular stenting of pulmonary artery stenosis","volume":"36","author":"Oyen","year":"1995","journal-title":"J Nucl Med"},{"key":"2022062413294553400_ezac326-B2","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1161\/01.CIR.95.3.643","article-title":"Increased airway pressure and simulated branch pulmonary artery stenosis increase pulmonary regurgitation after repair of tetralogy of Fallot. Real-time analysis with a conductance catheter technique","volume":"495","author":"Chaturvedi","year":"1997","journal-title":"Circulation"},{"key":"2022062413294553400_ezac326-B3","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1016\/j.jtcvs.2009.02.030","article-title":"Relief of branch pulmonary artery stenosis reduces pulmonary valve insufficiency in a swine model","volume":"138","author":"Petit","year":"2009","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022062413294553400_ezac326-B4","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1161\/01.CIR.59.6.1232","article-title":"Status of the adult and adolescent after repair of tetralogy of Fallot","volume":"59","author":"Garson","year":"1979","journal-title":"Circulation"},{"key":"2022062413294553400_ezac326-B5","doi-asserted-by":"crossref","first-page":"1556","DOI":"10.1016\/S0003-4975(01)02475-4","article-title":"Tetralogy of Fallot: surgical management individualized to the patient","volume":"71","author":"Fraser","year":"2001","journal-title":"Ann Thorac Surg"},{"key":"2022062413294553400_ezac326-B6","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1016\/0003-4975(92)90646-L","article-title":"Tetralogy of Fallot: favorable outcome of nonneonatal transatrial, transpulmonary repair","volume":"54","author":"Karl","year":"1992","journal-title":"Ann Thorac Surg"},{"key":"2022062413294553400_ezac326-B7","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.1016\/j.athoracsur.2005.04.016","article-title":"Tetralogy of Fallot: results of a pulmonary valve-sparing strategy","volume":"80","author":"Stewart","year":"2005","journal-title":"Ann Thorac Surg"},{"key":"2022062413294553400_ezac326-B8","doi-asserted-by":"crossref","first-page":"2279","DOI":"10.1016\/S0735-1097(00)00989-X","article-title":"Elective repair of acyanotic tetralogy of Fallot in early infancy: overall outcome and impact on the pulmonary valve","volume":"36","author":"Parry","year":"2000","journal-title":"J Am Coll Cardiol"},{"key":"2022062413294553400_ezac326-B9","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/S0003-4975(01)03325-2","article-title":"How to diminish reoperation rates after initial repair of tetralogy of Fallot?","volume":"73","author":"Faidutti","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"2022062413294553400_ezac326-B10","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1016\/S0003-4975(98)00112-X","article-title":"Left pulmonary artery kinking caused by outflow tract dilatation after transannular patch repair of tetralogy of Fallot","volume":"65","author":"McElhinney","year":"1998","journal-title":"Ann Thorac Surg"},{"key":"2022062413294553400_ezac326-B11","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1016\/j.athoracsur.2015.11.040","article-title":"Aggressive Patch Augmentation May Reduce Growth Potential of Hypoplastic Branch Pulmonary Arteries After Tetralogy of Fallot Repair","volume":"101","author":"Wilder","year":"2016","journal-title":"Ann Thorac Surg"},{"key":"2022062413294553400_ezac326-B12","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/0167-5273(89)90159-9","article-title":"Pulmonary arterial anatomy in tetralogy of Fallot","volume":"25","author":"Sharma","year":"1989","journal-title":"Int J Cardiol"},{"key":"2022062413294553400_ezac326-B13","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1016\/S0022-5223(19)35534-5","article-title":"Juxtaductal pulmonary artery coarctation. An underestimated cause of branch pulmonary artery stenosis in patients with pulmonary atresia or stenosis and a ventricular septal defect","volume":"100","author":"Elzenga","year":"1990","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022062413294553400_ezac326-B14","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1016\/S0022-5223(19)39329-8","article-title":"Pulmonary artery stenosis following aortopulmonary anastomoses","volume":"82","author":"Trusler","year":"1981","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022062413294553400_ezac326-B15","first-page":"II35","article-title":"Classic versus modified Blalock-Taussig shunts in neonates and infants","volume":"72","author":"Moulton","year":"1985","journal-title":"Circulation"},{"key":"2022062413294553400_ezac326-B16","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1067\/mtc.2002.119700","article-title":"Outcome after reconstruction of discontinuous pulmonary arteries","volume":"123","author":"Stamm","year":"2002","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022062413294553400_ezac326-B17","doi-asserted-by":"crossref","first-page":"II157","DOI":"10.1161\/circ.100.suppl_2.Ii-157","article-title":"Repair of tetralogy of Fallot in neonates and young infants","volume":"100","author":"Pigula","year":"1999","journal-title":"Circulation"},{"key":"2022062413294553400_ezac326-B18","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1016\/S0022-5223(19)34045-0","article-title":"Coarctation of the pulmonary artery in neonates. Prevalence, diagnosis, and surgical treatment","volume":"106","author":"Luhmer","year":"1993","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022062413294553400_ezac326-B19","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1016\/j.acvd.2013.05.004","article-title":"Unilateral absence of pulmonary artery: pathophysiology, symptoms, diagnosis and current treatment","volume":"106","author":"Kruzliak","year":"2013","journal-title":"Arch Cardiovasc Dis"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejcts\/advance-article-pdf\/doi\/10.1093\/ejcts\/ezac326\/43881533\/ezac326.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/62\/1\/ezac326\/44246552\/ezac326.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/62\/1\/ezac326\/44246552\/ezac326.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T13:30:05Z","timestamp":1656077405000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/doi\/10.1093\/ejcts\/ezac326\/6594491"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,28]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,6,15]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezac326","relation":{},"ISSN":["1873-734X"],"issn-type":[{"type":"electronic","value":"1873-734X"}],"subject":[],"published-other":{"date-parts":[[2022,7,1]]},"published":{"date-parts":[[2022,5,28]]},"article-number":"ezac326"}}