Congenital heart disease with ductal-dependent pulmonary circulation requiring a modified Blalock Thomas Taussig shunt (MBTTS) for palliation. These include defects such as pulmonary atresia, severe pulmonary stenosis, tricuspid atresia, and other single-ventricle or biventricular malformations that result in inadequate blood flow to the lungs and low oxygen levels after birth. The study focuses on infants and children who underwent MBTTS at Siriraj Hospital between 2010 and 2020. It aims to d
Conditions
Interventions
Patients who underwent MBTTS between 2010 and 2020 at Siriraj Hospital and survived to hospital discharge. This group was analyzed to identify protective factors associated with improved postoperative
Other,Other
Survivor Group,Non-survivor Group
Sponsors
Faculty of Medicine Siriraj Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
No minimum to 18 Years
Inclusion criteria
Inclusion criteria: all patients who received an isolated MBTTS procedure, except for those who also underwent ligation of patent ductus ateriosus (PDA), pulmonary artery plasty or atrial septectomy in single-ventricle physiology, which were considered part of the inclusion criteria.
Exclusion criteria
Exclusion criteria: The exclusion criteria were as follows: (1) cases where MBTTS was part of another procedure, such as the Norwood procedure; (2) patients who required additional surgical repairs, such as total anomalous pulmonary venous return (TAPVR) repair or unifocalization; and (3) cases with incomplete operative notes or missing clinical course data during hospitalization.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In-hospital mortality At hospital discharge Number and percentage of deaths | — |
Secondary
| Measure | Time frame |
|---|---|
| Risk factors associated with in-hospital mortality At hospital discharge Adjusted odds ratios | — |
Countries
Thailand
Contacts
Public ContactThita Pacharapakornpong
Faculty of Medicine Siriraj Hospital, Mahidol University
Outcome results
None listed