From: Outcomes of bidirectional Glenn surgery done without prior cardiac catheterization
Non-catheterization group N = 25 | Catheterization group N = 68 | P-value | |
---|---|---|---|
Echocardiographic data | |||
Moderate AVV regurgitation, n (%) | 1 (4) | 4 (5.9) | 0.750 |
Branch pulmonary artery stenosis, n (%) | 5 (20) | 19 (28) | 0.787 |
Aortic arch obstruction, n (%) | – | 2 (2.9) | |
Persistent LSVC, n (%) | 3 (12) | 9 (13.2) | 0.875 |
Significant aortic/Neo aortic regurgitation | – | – | |
Catheterization data | |||
Hemodynamics | |||
EDP, mmHg | 12 (9–15) | ||
Mean PAP, mmHg | 16 (13–19) | ||
PVRi, WU m2 | 1.4 (0.9–2.2) | ||
Angiography, n (%) | |||
No/mild RPA stenosis | 56 (82.3) | ||
Moderate RPA stenosis | 8 (11.8) | ||
Severe RPA stenosis | 4 (5.9) | ||
No/mild LPA stenosis | 59 (86.8) | ||
Moderate LPA stenosis | 5 (7.4) | ||
Severe LPA stenosis | 2 (3) | ||
Aortic arch obstruction | 2 (2.9) | ||
Persistent LSVC | 9 (13.2) | ||
APCs | 7 (10.3) | ||
Preoperative catheter interventions | 2 (2.9) | ||
Surgical data | |||
Bypass time, minute | 44 (40–65) | 46 (40–60) | 0.903 |
Unilateral/Bilateral Glenn, n (%) | 22 (88)/3 (12) | 59 (86.8)/9 (13.2) | 0.875 |
Antegrade pulmonary flow, n (%) | 9 (36) | 13 (19) | 0.089 |
Additional surgical procedure | |||
Pulmonary artery plasty n (%) | 5 (20) | 21 (31) | 0.787 |
Atrioventricular valve plasty n (%) | 1 (4) | 4 (5.9) | 0.750 |
Atrial septectomy n (%) | 12 (48) | 19 (27.9) | 0.055 |
Pacemaker insertion (congenital heart block) n (%) | – | 1 (1.5) | |
Operative complications n (%) | – | – |