Single-Ventricle Outcomes After Neonatal Palliation of Severe Ebstein Anomaly With Modified Starnes Procedure
Authors' conclusion
Long-term single-ventricle outcomes among neonatal survivors of the modified Starnes procedure are excellent.
Study context
- Population
- Neonates with severe Ebstein anomaly undergoing Starnes procedure, 1989–2015
- Participants
- 27 vs 24
- Exposure
- Entire vs Fenestrated RV exclusion
- Entiren = 27
- Fenestrated RV exclusionn = 24
- Outcome
- Long-term single-ventricle outcomes (survival)
- Follow-up
- 1, 5 and 10 years
Main finding
As reported in the abstract
Survival · 1, 5, and 10 years
| Group | 1 year | 5 years | 10 years |
|---|---|---|---|
| Entire | 81±4% | 81±5% | 76±3% |
| Fenestrated RV exclusion | 87±2% | 87±2% | 81±4% |
1 year
Entire81±4%
Fenestrated RV exclusion87±2%
5 years
Entire81±5%
Fenestrated RV exclusion87±2%
10 years
Entire76±3%
Fenestrated RV exclusion81±4%
Observational data: associations, not effects.
Further findings
Early mortality (same hospitalization), by RV exclusion type
- Nonfenestrated RV exclusion (3 patients): died
- 2 (67%)
- Remaining 24 patients: died during the same hospitalization
- 3 (13%)
Single-ventricle course of the 22 neonatal survivors · follow-up 7 (6-8) years
- Fontan completion
- 20
- Awaiting Glenn procedure
- 1
- Died after Glenn procedure
- 1
- Indexed pulmonary vascular resistance
- 1.8 (1.2-2.3) W/m²
- Mean pulmonary pressure
- 12 (9-18) mm Hg
- Pacemaker implantation
- 2
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Single-Ventricle Outcomes After Neonatal Palliation of Severe Ebstein Anomaly With Modified Starnes Procedure. Circulation. Published 25 October 2016. doi:10.
Summarised from the published abstract; every number is checked against it