- Academic Editor
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†These authors contributed equally.
Background: Both systemic-to-pulmonary shunt and right
ventricle-pulmonary artery (RV-PA) connection are extensively applied to
initially rehabilitate the pulmonary artery in pulmonary atresia with the
ventricle septal defect (PA/VSD). However, which of these options is the most
ideal for promoting pulmonary artery development and improving outcomes remains
controversial. Methods: A total of 109 PA/VSD patients undergoing
initial rehabilitative surgery at Guangdong Provincial People’s Hospital from
2010 to 2020 were enrolled in this study. A series of clinical data were
collected to compare the perioperative and postoperative outcomes between
systemic-to-pulmonary and RV-PA connection. Results: The mean duration
of follow-up was 61.1 months in the systemic-to-pulmonary shunt group and 70.3
months in the RV-PA connection group (p