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Table 1 Clinical characteristics of control and Fontan cohort, with subgroups according to ventricular morphology

From: Adverse fibrosis remodeling and aortopulmonary collateral flow are associated with poor Fontan outcomes

 

Control N = 41

Fontan N = 55

P value

DRV N = 20

DLV N = 35

P value

Demographics

 Gender (male)

59%

58%

0.93

50%

69%

0.35

 Median age (years)

14 (7–17)

13 (4–14)

0.057

12.3 (3.6–16.9)

13.5 (4–18)

0.35

Surgical data

 Median age at BCPC (months)

 

6 (2–26)

 

6 (2–26)

6 (2–10)

0.09

 Median age at Fontan (months)

 

41 (16–82)

 

42 (18–58)

41 (16–82)

0.80

 Cumulative bypass time (min)

 

229 ± 122

 

283 ± 120

199 ± 114

0.01

 Cumulative cross clamp time (min)

 

61 ± 62

 

85 ± 53

48 ± 63

0.03

 Cumulative DHCA time (min)

 

6 ± 12

 

12 ± 14

2 ± 10

0.01

Clinical information

 Height (cm)

164 (123–190)

151 (99–183)

 < 0.001

151 (99–173)

152 (103–183)

0.54

 Weight (kg)

60 (22–125)

34 (15–146)

 < 0.001

38 (15–146)

43 (16–89)

0.56

 Heart rate (bpm)

73 (46–105)

81 (57–145)

0.005

85 (63–145)

79 (57–110)

0.03

 Saturations (%)

 

95 (78–98)

 

95 (79–98)

95 (78–98)

0.87

 Systolic BP percentile

 

64 (3–100)

 

60 (10–98)

64 (3–100)

0.82

 Diastolic BP percentile

 

39 (8–100)

 

30 (18–97)

43 (8–100)

0.31

 Hematocrit

0.43 ± 0.04

0.44 ± 0.04

0.29

0.44 ± 0.04

0.46 ± 0.05

0.21

Cardiac catheterization

 Median interval CMR to Cath (days)

 

0 (0–206)

 

0 (0–206)

0 (0–133)

0.44

 SVEDP (mmHg)

 

7 ± 2

 

6 ± 2

8 ± 2

0.27

 CVP (mmHg)

 

10 ± 12

 

11 ± 2

10 ± 2

0.62

 MAP (mmHg)

 

4 ± 2

 

5 ± 1

6 ± 2

0.50

Echocardiography

 Median interval CMR to echo (days)

 

64 (1–365)

 

67 (1–365)

60 (2–361)

0.57

 Moderate to severe AVVR

 

31% (16)

 

45% (9)

23% (7)

0.13

 Moderate to severe AR

 

8% (4)

 

5% (1)

10% (3)

0.50

Cardiopulmonary exercise testinga

 Median interval CMR to CPET (days)

 

88 (0–365)

 

53 (16–343)

92 (0–341)

0.97

 VO2max (%predicted)

 

75.5 ± 12.1

 

74.8 ± 10.9

76.3 ± 13.2

0.78

 Work-load (%predicted)

 

81.2 ± 16.1

 

89.6 ± 11.5

82.0 ± 19.0

0.74

 Anaerobic threshold (% predicted)

 

80.9 ± 17.1

 

84.0 ± 17.1

79.3 ± 18.1

0.56

  1. aCPET within one year of CMR was only available in 28 Fontan patients, 19 with a DLV and 9 with a DRV
  2. AR, aortic regurgitation; AVVR, atrioventricular valvar regurgitation; BCPC, Bidirectional Cavopulmonary Connection; BP, blood pressure; BSA, body surface area; Cath, cardiac catheterization; CMR, cardiovascular magnetic resonance; CPET, cardiopulmonary exercise testing; CVP, central venous pressure; DHCA, deep hypothermic circulatory arrest; DLV, dominant left ventricle; DRV, dominant right ventricle; MAP, mean atrial pressure; SVEDP, single ventricle end diastolic pressure; VO2max, maximum rate of oxygen consumption