Outcomes Following Aortic Valve Replacement in Children With Conotruncal Anomalies

The Pediatric Cardiac Care Consortium was queried for patients undergoing repair of conotruncal abnormalities and subsequent AVR 1982 – 2003.   Of 106 patients undergoing AVR, the operative mortality was 12%, and was related to infant age at the time of surgery (OR = 55).   Transplant-free survival at 25 years was 53%.  Transplant-free survival at 20 years was inferior to that of patients undergoing AVR for non-conotruncal abnormalities (61% vs 82%).  Valve type was not associated with outcomes.