Publications by authors named "L Mac Felmly"
Commentary: Getting to the root of the matter when managing the trunk.
J Thorac Cardiovasc Surg
October 2024
Article Synopsis
- Congenitally corrected transposition of the great arteries (CC-TGA) is a complex congenital heart condition, and the study explored surgical outcomes from a double switch procedure performed on 121 patients over 20 years.
- Of the patients, 67 underwent an arterial switch and 54 a Rastelli procedure, with in-hospital mortality rates of 3.3%, which varied between procedures (5.6% for Rastelli vs. 1.5% for arterial switch).
- At a median follow-up of 30 months, combined late mortality was 9.3% for Rastelli and 4.5% for arterial switch, indicating better outcomes for the arterial switch, especially in patients who had prior left
A Deep Dive Into Retroesophageal Major Aortopulmonary Collateral Arteries.
World J Pediatr Congenit Heart Surg
November 2023
The anatomy of major aortopulmonary collateral arteries (MAPCAs) can be highly variable with regard to number, anatomic origin, course, and relationship to the native pulmonary arteries. Some MAPCAs travel behind the esophagus (retroesophageal) and bronchus before entering the lung parenchyma. The purpose of this paper was to review the anatomy, physiology, and surgical characteristics of retroesophageal MAPCAs.
View Article and Find Full Text PDFObjective: Acute lung injury is a known complication of pulmonary artery reconstruction for peripheral pulmonary artery stenosis. Severe cases may require support with extracorporeal membrane oxygenation. The purpose of this study was to evaluate the characteristics of patients requiring extracorporeal membrane oxygenation after pulmonary artery reconstruction.
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