Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Comprehensive Aristotle score: implications for the Norwood procedure.

Nicodème Sinzobahamvya1, Joachim Photiadis, Daiva Kumpikaite

  • 1Department of Pediatric Thoracic and Cardiovascular Surgery, German Pediatric Heart Center, Sankt Augustin, Germany. sinzo.md@dkhz.de

The Annals of Thoracic Surgery
|April 25, 2006
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

An updated systematic review of the impact of volume of surgery and specialization in Norwood procedure.

BMC pediatrics·2026
Same author

Damus-Kaye-Stansel procedure in the case of an anteroposterior relationship of great vessels.

Multimedia manual of cardiothoracic surgery : MMCTS·2026
Same author

Beyond daylight: emergent cardiac catheterization in congenital heart disease during evenings and nights: clinical demand and logistical realities.

Frontiers in cardiovascular medicine·2026
Same author

Anatomic Versus Physiologic Repair in Congenitally Corrected Transposition: A Propensity-Matched European Multicentre Study.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery·2026
Same author

Fibroelastic Remodelling of the Endocardium on the Right Side of the Heart: Endothelial-to-Mesenchymal Transition in Pulmonary Atresia With Intact Ventricular Septum.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery·2026
Same author

Explantation of the Berlin Heart EXCOR Assist Device in a Child After Recovery From Viral Myocarditis.

World journal for pediatric & congenital heart surgery·2026
Same journal

A Health Tracking Application Leads to An Avid Cyclist Being Diagnosed with ALCAPA at 52 years old, Warranting a Takeuchi Repair.

The Annals of thoracic surgery·2026
Same journal

Impact of preoperative and postoperative modern guideline-directed medical therapy on survival following coronary artery bypass grafting.

The Annals of thoracic surgery·2026
Same journal

Does prior percutaneous coronary revascularization negatively affect the outcomes of subsequent coronary artery bypass grafting?

The Annals of thoracic surgery·2026
Same journal

Lymph Node Dissection and Chylothorax - Balancing Oncologic Benefit Against Morbidity.

The Annals of thoracic surgery·2026
Same journal

Preserved Antegrade Pulmonary Blood Flow in Bidirectional Glenn: Outcomes and Considerations for Staged Palliation.

The Annals of thoracic surgery·2026
Same journal

Domo Arigato, Mr. Roboto.

The Annals of thoracic surgery·2026
See all related articles

The Aristotle score effectively predicts survival for the Norwood procedure in hypoplastic left heart syndrome (HLHS). Scores below 20 correlate with improved survival, while higher scores indicate increased mortality risk.

Area of Science:

  • Pediatric Cardiac Surgery
  • Surgical Performance Metrics
  • Congenital Heart Disease Management

Background:

  • The Aristotle score is an emerging metric for assessing surgical performance.
  • Its utility in complex pediatric cardiac procedures like the Norwood procedure requires evaluation.
  • Hypoplastic left heart syndrome (HLHS) necessitates advanced surgical interventions.

Purpose of the Study:

  • To calculate the comprehensive Aristotle score for Norwood procedures.
  • To correlate Aristotle scores with patient survival rates.
  • To assess the score's impact on surgical management strategies for HLHS.

Main Methods:

  • Retrospective calculation of comprehensive Aristotle scores for 39 consecutive Norwood procedures (2001-2004).

Related Experiment Videos

  • Kaplan-Meier method used for survival estimation.
  • Analysis of patient-adjusted factors contributing to score variability.

    • Main Results:

    • Aristotle scores ranged from 14.5 to 23.5 (mean 19.12).
    • Hospital mortality was significantly higher for scores >= 20 (58.8%) compared to < 20 (9.1%, p=0.0014).
    • One-year survival was substantially lower for scores >= 20 (29.4%) versus < 20 (77.3%, p=0.001).

    Conclusions:

    • The comprehensive Aristotle score significantly correlates with hospital mortality and late survival post-Norwood palliation.
    • Achieving ~90% operative survival appears feasible for patients with Aristotle scores < 20.
    • Focus should be placed on improving outcomes for high-risk patients (score >= 20).