Natural History of Truncal Root Dilatation and Truncal Valve Regurgitation in Truncus Arteriosus

Article Cardiac & Cardiovascular Systems

Residual Lesion Severity Predicts Midterm Outcomes After Congenital Aortic Valve Repair

Aditya Sengupta et al.

Summary: This study aimed to validate the technical performance score (TPS) as a predictor of midterm outcomes after congenital aortic valve repair. A retrospective analysis of consecutive patients who underwent aortic valve repair between January 1, 2011, and December 31, 2019, showed that the degree of residual aortic valve after surgery significantly affected the rates of reintervention, mortality, and aortic regurgitation or stenosis.

ANNALS OF THORACIC SURGERY (2023)

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Article Cardiac & Cardiovascular Systems

Long-term outcomes of truncus arteriosus repair: A modulated renewal competing risks analysis

Alvise Guariento et al.

Summary: This study identified that a smaller right ventricle to pulmonary artery conduit size and truncal valve insufficiency at birth were associated with overall mortality after truncus arteriosus repair. The size of the conduit at index surgery was the most important factor for early reoperation and catheter-based reintervention.

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY (2022)

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Article Cardiac & Cardiovascular Systems

2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines

Eric M. Isselbacher et al.

Summary: The 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease provides recommendations for clinicians on the diagnosis, genetic evaluation, medical therapy, endovascular and surgical treatment, and long-term surveillance of patients with various clinical presentations of aortic disease. The guideline emphasizes the importance of shared decision making and institutional interventional volume and multidisciplinary expertise in the care of patients with aortic disease.

CIRCULATION (2022)

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Article Cardiac & Cardiovascular Systems

Increased Aortic Stiffness and Left Ventricular Dysfunction Exist After Truncus Arteriosus Repair

Matthew L. Stone et al.

Summary: This study found that children with repaired truncus arteriosus (TA) have abnormal ascending aortic biomechanical properties and altered left ventricular (LV) function. These changes can be detected by CMR imaging and are different from the control group. Additionally, it was observed that changes in LV function were independent of aortic biomechanical properties.

ANNALS OF THORACIC SURGERY (2021)

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Article Cardiac & Cardiovascular Systems