{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:12:09Z","timestamp":1777878729487,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T00:00:00Z","timestamp":1721692800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study describes the 20-year experience of managing common arterial trunk (CAT) in a low-and-middle-income country and compares the early and medium-term outcomes following the transition from conduit to nonconduit repair at the Red Cross War Memorial Children's Hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Single-center retrospective study of consecutive patients aged less than 18 years who underwent repair of CAT from January 1999 to December 2018 at the Red Cross War Memorial Children's Hospital. Patients with interrupted aortic arch or previous pulmonary artery banding were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty-four patients had CAT repair during the study period. Thirty-four (63.0%) patients had a conduit repair, and 20 (37.0%) patients had a nonconduit repair. There were two intraoperative deaths. Thirty-day in-hospital mortality was 22.2% (12\/54). Overall, in-hospital mortality was 29.6% (16\/54). Eight (21.1%) late mortalities were observed. The actuarial survival for the conduit group was 77.5%, 53.4%, and 44.5% at 6, 12, and 27 months, respectively, and the nonconduit group was 58.6% at six months. The overall freedom from reoperation between the conduit group and nonconduit group was 66.2% versus 86.5%, 66.2% versus 76.9%, and 29.8% versus 64.1% at 1, 2, and 8 years, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The outcomes following the transition to nonconduit repair for CAT in a low- and middle-income setting appear to be encouraging. There was no difference in mortality between conduit and nonconduit repairs, and importantly the results suggest a trend toward lower reintervention rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501351241256582","type":"journal-article","created":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T19:00:04Z","timestamp":1721761204000},"page":"766-773","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Common Arterial Trunk Repair at the Red Cross War Memorial Hospital, Cape Town: A 20-Year Review of Surgical Practice and Outcomes"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4312-2994","authenticated-orcid":false,"given":"A","family":"Moodley","sequence":"first","affiliation":[{"name":"Division of Cardio-Thoracic Surgery, University of Cape Town, Cape Town, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HM","family":"Meyer","sequence":"additional","affiliation":[{"name":"Division of Paediatric Anaesthesia, Department of Anesthesia and Perioperative Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Salie","sequence":"additional","affiliation":[{"name":"Division of Paediatric Critical Care, School of Child and Adolescent Health, University of Cape Town, Cape Town, South Africa"},{"name":"Paediatric Intensive Care Unit, Red Cross War Memorial Children's Hospital, Cape Town, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6007-5827","authenticated-orcid":false,"given":"P","family":"Human","sequence":"additional","affiliation":[{"name":"Division of Cardio-Thoracic Surgery, University of Cape Town, Cape Town, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L J","family":"Z\u00fchlke","sequence":"additional","affiliation":[{"name":"South African Medical Research Council, Francie van Zijl Drive, Cape Town, South Africa"},{"name":"Division of Paediatric Cardiology, Department of Paediatrics and Child Health, Faculty of Health Sciences, University of Cape Town, Red Cross War Memorial Children's Hospital, Cape Town, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Brooks","sequence":"additional","affiliation":[{"name":"Division of Cardio-Thoracic Surgery, University of Cape Town, Cape Town, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,7,23]]},"reference":[{"key":"bibr1-21501351241256582","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)33780-8"},{"key":"bibr2-21501351241256582","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2004.02.032"},{"key":"bibr3-21501351241256582","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(97)70259-9"},{"key":"bibr4-21501351241256582","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.54.1.108"},{"key":"bibr5-21501351241256582","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.40.11.1280"},{"key":"bibr6-21501351241256582","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1968.03140280023007"},{"key":"bibr7-21501351241256582","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)37024-2"},{"issue":"6","key":"bibr8-21501351241256582","doi-asserted-by":"crossref","DOI":"10.1016\/S0003-4975(98)01103-5","volume":"66","author":"Urban AE","year":"1998","journal-title":"Ann Thorac Surg"},{"key":"bibr9-21501351241256582","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(00)00551-9"},{"key":"bibr10-21501351241256582","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(01)00816-8"},{"key":"bibr11-21501351241256582","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(01)02796-5"},{"key":"bibr12-21501351241256582","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.04.121"},{"issue":"2","key":"bibr13-21501351241256582","volume":"60","author":"Laohaprasitiporn D","year":"2008","journal-title":"Siriraj Med J"},{"key":"bibr14-21501351241256582","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12359"},{"key":"bibr15-21501351241256582","doi-asserted-by":"publisher","DOI":"10.1053\/j.semtcvs.2015.08.009"},{"key":"bibr16-21501351241256582","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2018.12.115"},{"key":"bibr17-21501351241256582","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2021.01.136"},{"key":"bibr18-21501351241256582","unstructured":"The World Bank Group. 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