April 2023

Use of a composite survival graph to optimise the surgical strategy for Tricuspid atresia

The introduction of the Fontan circulation has improved the long term survival of patients with Tricuspid Atresia (TA) in general. Neonates and infants with TA presenting reduced pulmonary blood flow (RPBF) are usually offered a systemic arterial-to-pulmonary artery shunt (SAPAS) in the hope that they will eventually achieve a Fontan circulation. There is evidence that palliative surgery may not improve survival in this...

Author(s): Mark N. Awori, Jonathan A. Awori, Hassan Mohamud Ibrahim and Kimberly Kipkoech  

April 2023

Late repair of truncus arteriosus improves the symptoms in the majority of patients: A systematic review

Surgery aims to increase longevity and improve symptomatology. Surgical correction of truncus arteriosus after five months of age does not appear to offer a survival advantage over the natural history; repair after 5 months of age can be considered to be ‘late’ in this regard. Although surgical correction after five months of age can be achieved with low operative mortality, it remains unclear whether...

Author(s): Mark N. Awori, Jonathan A. Awori, Jedida Chepkorir Kimutai, Pravin Mokaya Momanyi and Kimberly Kipkoech