Abstract
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 0-1 (N=32); and (3) high-risk 1V RF score ≥2 (N=39). Midterm survival (median 4years) 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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