Pediatr Cardiol

DOI 10.1007/s00246-016-1361-3

Received: 26 October 2015 / Accepted: 13 February 2016

© Springer Science+Business Media New York 2016


Hybrid Palliation for Ductal-Dependent Systemic Circulation



William N Evans, MD, Alvaro Galindo, MD, Abraham Rothman, MD, Michael L Ciccolo, MD, Sergio A Carrillo, MD, Ruben J Acherman, MD, Gary A Mayman, MD, Kathleen A Cass, MD, Katrinka T Kip, MD, Carlos F Luna, MD, Joseph M Ludwick, MD, Robert C Rollins, MD, William J Castillo, MD, John A Alexander, DO, Humberto Restrepo, MD, MPH



ChildrenÕs Heart Center Nevada, 3006 S Maryland Pkwy, Ste 690, Las Vegas, Nevada 89109, USA. Email:



We reviewed our hybrid palliation experience for 91 neonates, with ductal-dependent systemic circulation, born between August 2007 and October 2015. For analysis, we stratified the 91 patients by a risk factor (RF) score and divided them into three groups: (1) high-risk two-functional ventricles (2V) median RF score of 3 (N = 20); (2) low-risk one-functional ventricle (1V) RF score 0Š1 (N =  32); and (3) high-risk 1V RF score C 2 (N =  39). Midterm survival (median 4 years) by group was: (1) 95 %, (2) 91 %, and (3) 15 %, (p = 0.001). In conclusion, hybrid palliation was associated with excellent midterm results for high-risk 2V and low-risk 1V patients with ductal-dependent systemic circulation. In contrast, high-risk 1V patients had significantly worse outcomes.


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