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. Author manuscript; available in PMC: 2018 Mar 1.
Published in final edited form as: J Thorac Cardiovasc Surg. 2016 Nov 16;153(3):638–645.e2. doi: 10.1016/j.jtcvs.2016.10.078
Characteristics
Prenatal
 Prenatal diagnosis
 Fetal age at prenatal diagnosis, wk
 Fetal intervention
Birth
 Gestational age, wk
 Gestational age,<37 wk
 Apgar at 1 min
 Apgar at 5 min
 Birth weight, kg
 Birth weight<2.5 kg
 Head circumference-for-age z score at baseline
 If diagnosed after birth, age at diagnosis, d
Demographic
 Male
 Hispanic
 Race
  White
  Black
  Other
  White race
 Socioeconomic score (US census)
 % below federal poverty level
Anatomy
 Hypoplastic left heart syndrome
 Aortic atresia, mitral atresia
 Aortic atresia, mitral stenosis
 Aortic stenosis, mitral stenosis
 Any aortic atresia
 Obstructed pulmonary venous drainage
 Total anomalous pulmonary venous return
 Ascending aorta diameter, mm
 Karyotype
  46 XY
  Other
  46 XX
 Genetic syndrome
  Yes
  Unknown (evaluation not done)
  No
 Nonsyndromic abnormality
  Yes
  Unknown (evaluation not done)
  No
 Genetic syndrome or nonsyndromic abnormality
  Yes
  Unknown (evaluation not done)
  No
 Apo E genotype
  E2/E3
  E3/E4 or E4/E4
  E3/E3
Pre-Norwood echocardiogram
 Antegrade flow in ascending aorta (patent aortic valve)
 Atrial septal defect mean Doppler gradient, mm Hg
 Right ventricular ejection fraction, %
 Fractional area change
 Left ventricle present
 Moderate/severe mitral regurgitation
 Moderate/severe tricuspid regurgitation
 Moderate/severe aortic valve regurgitation
Preoperative
 Median highest lactate, mmol/L
 Mechanical ventilation
 Inhaled gases CO2
 Inhaled gases N2
 Pre-Norwood apnea
 Pre-Norwood shock
 Pre-Norwood respiratory failure
 Pre-Norwood metabolic acidosis
 Pre-Norwood catheter intervention
 Pre-Norwood catheter interventions
 Pre-Norwood cardiac surgery
 Pre-Norwood noncardiac surgery
 Pre-Norwood any surgery
 Pre-Norwood total surgeries
 Pre-Norwood complications
 Pre-Norwood complications
Stage 1
 Age at Norwood, d
 Shunt at end of operation
  MBTS
  RVPAS
 Cross over
 Total crossclamp time, min
 Norwood perfusion type
  Deep hypothermic circulatory arrest only
  Regional cerebral perfusion and deep hypothermic circulatory arrest time ≤10 min
  Regional cerebral perfusion deep hypothermic circulatory arrest with deep hypothermic circulatory arrest time>10 min
 Total support time, min
 Total bypass time, min (excludes RCP time)
 Total deep hypothermic circulatory arrest time, min
 Total regional cerebral perfusion time, min
 Regional cerebral perfusion flow, mL/kg/min
 Lowest temperature
 Lowest hematocrit, %
 Ultrafiltration during or after Norwood
 Steroids
 Aprotinin
 a-blockade
 Extracorporeal membrane oxygenation used in operating room
 Type of arch reconstruction
  Classic arch reconstruction
  Direct pulmonary artery anastomosis to arch
 Coarctectomy
 Patch
 Origin – polytetrafluoroethylene graft
  Innominate
  Subclavian
  Common carotid
  Aorta
  Right ventricle
 Other procedures done at time of Norwood
 Open sternum on day of Norwood
 Open sternum after Norwood
 Surgeon Norwood volume
 Surgeon Norwood volume ≤5/y
 Surgeon Norwood volume
  ≤5/y
  ≤10/y
  ≤15/y
  >15/y
 Center volume
 Center volume
  ≤15/y
  ≤20/y
  ≤30/y
  >30/y

MBTS, modified Blalock–Taussig shunt; RCP, retrograde cerebral perfusion; RVPAS, right ventricle-to-pulmonary artery shunt.