{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T15:14:24Z","timestamp":1771859664585,"version":"3.50.1"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"crossref","award":["413668513"],"award-info":[{"award-number":["413668513"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100005971","name":"Deutsche Herzstiftung","doi-asserted-by":"crossref","award":["S\/03\/23"],"award-info":[{"award-number":["S\/03\/23"]}],"id":[{"id":"10.13039\/501100005971","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Interdisciplinary Center of Clinical Research of the Medical Faculty Jena"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Repair of common arterial trunk (CAT) involves establishing the right ventricular outflow tract (RVOT) using either a conduit or a direct right ventricle\u2013pulmonary artery (RVPA) anastomosis (DA). Conduits offer a valved pathway but are limited by durability and availability. The comparative outcomes of these 2 techniques remain uncertain. This work assessed whether DA improves survival, reduces complications and reintervention outcomes compared to conduit repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PubMed, Web of Science, EMBASE, and Cochrane Central were searched for studies comparing conduit versus DA for RVOT reconstruction from February 20, 2025 to March 30 30, 2025. The primary outcome was early mortality; secondary outcomes included haemodynamics, recovery, and complications. Time-to-event data were reconstructed from Kaplan-Meier curves. Pooled hazard ratios (HRs), risk ratios (RRs), or mean differences (MDs) with 95% confidence intervals (CIs) were calculated using random-effects models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eleven studies (767 patients; 419 conduit, 348 DA) were included. Early mortality (RR\u2009=\u20090.61, 95% CI, 0.26-1.44, P\u2009=\u2009.220) and long-term survival (HR\u2009=\u20091.11, 95% CI, 0.61-2.02, P\u2009=\u2009.738) were similar. Reoperation was more frequent in the conduit group (HR\u2009=\u20091.77, 95% CI, 1.05-3.01, P\u2009=\u2009.034). Conduit repair required longer ventilation (MD\u2009=\u20093.44 days, P\u2009=\u2009.010) and hospitalization (MD\u2009=\u20094.77 days, P\u2009=\u2009.030), with comparable ICU stay and RVOT growth. Truncal valve insufficiency (RR\u2009=\u20090.13, P\u2009=\u2009.130 for truncal valve vs conduit) was similar in incidence following DA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Conduit and DA repairs yield similar survival and postoperative complications in CAT, while DA offers fewer reoperations and faster recovery. Data from future prospective multicentre trials will support decision-making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/icvts\/ivag029","type":"journal-article","created":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T12:39:27Z","timestamp":1769258367000},"source":"Crossref","is-referenced-by-count":0,"title":["Direct Anastomosis Versus Conduit Repair for Right Ventricular Outflow Tract Reconstruction in Common Arterial Trunk: A Meta-Analysis of Reconstructed Time-to-Event Data"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8407-1731","authenticated-orcid":false,"given":"Abdullah","family":"Almehandi","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Science, University College London , WC1E 6BT London,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4397-5200","authenticated-orcid":false,"given":"Lucas","family":"Diniz","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Federal Fluminense University , 24220-900 Rio de Janeiro,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enzzo Barrozo","family":"Marrazzo","sequence":"additional","affiliation":[{"name":"Pontifical Catholic University of Minas Gerais , 37714-620 Po\u00e7os de Caldas,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana Loricchio","family":"Veiga","sequence":"additional","affiliation":[{"name":"Universidad de Buenos Aires , C1053ABH Buenos Aires,","place":["Argentina"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Latefah","family":"Alotaibi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Jaber Al-Ahmad Hospital , 91710 Kuwait City,","place":["Kuwait"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yahya","family":"Ali","sequence":"additional","affiliation":[{"name":"Faculty of Life Sciences and Medicine, King\u2019s College London, WC2R 2LS London, WC2R 2LS, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulrahman O","family":"Al-Naseem","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, McGill University , H3A 0G4, Montr\u00e9al,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7805-9959","authenticated-orcid":false,"given":"Hamood","family":"Al Kindi","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Sultan Qaboos University Hospital , 123 Sib,","place":["Oman"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunter","family":"Kerst","sequence":"additional","affiliation":[{"name":"Clinic for Pediatric Cardiology and Congenital Heart Disease, Klinikum Stuttgart , 70174 Stuttgart,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5697-2659","authenticated-orcid":false,"given":"Tulio","family":"Caldonazo","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Jena University Hospital, Friedrich Schiller University of Jena , 07747 Jena,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"key":"2026022309214303400_ivag029-B1","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.1586\/erc.11.170","article-title":"Common arterial trunk: review of surgical strategies and future research","volume":"9","author":"De Siena","year":"2011","journal-title":"Expert Rev Cardiovasc Ther"},{"key":"2026022309214303400_ivag029-B2","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1093\/med\/9780198759447.003.0023","volume-title":"Challenging Concepts in Congenital and Acquired Heart Disease in the Young","author":"Tretter","year":"2020","edition":"1st ed"},{"key":"2026022309214303400_ivag029-B3","first-page":"368","article-title":"New aspects of anesthetic management in congenital heart disease \u2018common arterial trunk","volume":"19","author":"Ziyaeifard","year":"2014","journal-title":"J Res Med Sci"},{"key":"2026022309214303400_ivag029-B4","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1177\/2150135113516370","article-title":"Surgical treatment of common arterial trunk in patients beyond the first year of life","volume":"5","author":"Arslan","year":"2014","journal-title":"World J Pediatr Congenit Heart Surg"},{"key":"2026022309214303400_ivag029-B5","first-page":"A331.2","article-title":"P448 9 year experience and outcomes of truncus arteriosus in a tertiary neonatal intensive care unit. 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