It was revealed that acteoside is an activator of Nrf2 and induce

It was revealed that acteoside is an activator of Nrf2 and inducer of HO-1 expression. We showed that acteoside increased HO-1 expression in vitro and in vivo. Acteoside treatment resulted in nuclear translocation of the transcription factor NF-E2-related factor 2 (Nrf2). Acteoside activated both ERK and PI3 K/Akt, and treatments with the specific ERK inhibitor PD98059, the PI3 K inhibitor LY294002, and the specific Taselisib Nrf2 siRNA suppressed the acteoside-induced HO-1 expression. The HO-1 inhibitor ZnPP, PD98059, and LY294002 markedly abolished the neuroprotective effect of acteoside against

A beta-induced neurotoxicity. Taken together, these results demonstrate that acteoside is an activator of Nrf2 and inducer of HO-1 expression. We also showed that acteoside increased HO-1 expression through activation of ERK and PI3 K/Akt signal pathways in vitro. Upregulation of HO-1 by acteoside may involve in the neuroprotection against A beta-induced neurotoxicity.”
“Mycoflora and mycotoxin contamination mTOR inhibitor of different feeds ( cattle and poultry) from different regions of Godavari belt was analysed. In all, five species of Fusarium were detected with varying percentages of incidence. A high percentage of isolates of Fusarium

were mycotoxigenic and produced one or more mycotoxins. Zearalenone, T(2) toxin, nivalenol (NIV) and deoxyscripenol (DAS) were some of the mycotoxins detected.”
“Adenoviruses (AdV) are increasingly recognized as important viral pathogens in immunocompromised hosts. The clinical spectrum ranges from asymptomatic viremia to allograft dysfunction, and death. Most of the medical literature is on AdV infection in children and bone marrow transplant recipients. We report a case of AdV in an adult recipient in the first month after simultaneous kidney-pancreas transplant with thymoglobulin induction. This check details is a rare report of adenovirus infection after multiorgan transplant, and is unique in that it exhibited tissue invasive disease without any localizing signs

or allograft dysfunction, while other cases in medical literature had invasive disease of the allograft with allograft dysfunction, failure, or death. In addition, this is the first report of a radiologic presentation of AdV nephritis.”
“Background: Placental malaria and pre-eclampsia occur frequently in women in tropics and are leading causes of maternal and perinatal morbidities and mortality. Few data exist concerning the interaction between placental malaria and pre-eclampsia.

Methods: A case control study was conducted in Medani Hospital, which locates in an area of unstable malaria transmission in Central Sudan. Case (N = 143) were women with pre-eclampsia, which was defined as systolic blood presure >= 140 mm Hg or diastolic blood pressure >= 90 mm Hg and proteinuria.

Activity level was compared with pad weight gain and the number o

Activity level was compared with pad weight gain and the number of leakage episodes due to activity according to a patient activity diary (diarized activity leakage episodes) using non-parametric tests. Results: There was a significant difference between the “”normally active”" and “”minimally active”" days for median pad weight CX-6258 gain (9.9 g vs. 5.2 g, P < 0.05) and diarized activity leakage episodes (2 vs. 1, P < 0.05). When the days were re-categorized, there was a significant difference between “”mild activity”" and “”moderate activity”" days for median pad weight gain (4.85

g vs. 7.1 g, P < 0.05) and diarized activity leakage episodes (0 vs. 2, P < 0.05). Conclusion: Increased patient activity levels increase the degree of leakage as measured by 24-hr pad weight gain therefore patients with SUI should perform the 24-hr pad test with standardized activity instructions. In scientific research, we recommend that women perform minimal physical activity, as this decreases the variation of activity. This approach will enhance the function of the 24-hr pad test as a severity measure between patients with SUI. Neurourol. Urodynam. 31: 143-147, 2012. (C) 2011 Wiley Periodicals, Inc.”
“Objective: When the number of events is small during Cox regression

analysis, Crenigacestat mouse it is unclear what alternative analytical strategies can be used and when this type of alternative Fludarabine mouse approach is needed. This study explores several analytical strategies in this situation.

Study Design and Setting: Simulations and sensitivity analyses were performed on data with numbers of events per predictive variable (EPVs) below 10 using a Cox model with a partial likelihood (PL), Firth’s penalized likelihood, or the Bayesian approach.

Results: For scenarios involving binary predictors with an EPV of six or less, the simulations showed that the Firth and Bayesian approaches were more accurate than was PL. The performances of various approaches were similar when the EPV was greater than six in the binary predictor. Furthermore,

the performances involving continuous predictors were similar, regardless of the EPV. The bias and precision of the parameter estimates using Bayesian analysis depended on the selection of priors.

Conclusions: When the EPV is six or less, the results for categorical predictors tend to be too conservative. Firth’s estimator may be a good alternative in this situation. Appropriate choices of priors when using Bayesian analysis should increase the accuracy of the parameter estimates, although this requires expertise. (c) 2013 Elsevier Inc. All rights reserved.”
“Background: Cell lines are very useful for clinical and basic research. Thus far, only 11 reports have documented the characteristics of ovarian endometrioid adenocarcinoma cell lines in the literature.

Similar mechanisms may be involved in toxicities observed in clin

Similar mechanisms may be involved in toxicities observed in clinical trials of gamma-secretase inhibitors. A model of allelic interference may explain the dominant negative transmission of neurotoxic loss of function in FAD neurodegeneration. (C) 2013

S. Karger AG, Basel”
“The effect of folic acid Mizoribine and folic acid + vitamin B-12 supplementation upon short-term arsenic-induced systemic and pancreatic islet cell mitochondria oxidative stress was investigated in male rats. Arsenic trioxide was administered orally at a dose of 3 mg kg body weight(-1) day(-1) for 30 days, and folic acid and vitamin B-12 were administered at a dose of 36 and 0.63 mu g kg body weight(-1) day(-1), respectively, for 30 days. Compared to control, arsenic-treated group showed a significant increase in the levels of systemic oxidative GSK3326595 markers, malondialdehyde (MDA), nitric oxide (NO), and hydroxyl radical (OH-) formation, which were found decreased significantly after supplementation either with folic acid or a combination of folic acid + vitamin B-12. Similar supplementations were found effective against arsenic-induced oxidative marker changes (MDA, NO, and OH-) in pancreatic islet cell mitochondria. Also, low activities of antioxidant defense enzymes such

as superoxide dismutase and catalase, and level of antioxidant glutathione, all could regain significantly on supplementations both against systemic and islet cell mitochondria oxidative stress. Results of agarose-gel electrophoresis of DNA from lymphocytes and islet cells of arsenic-exposed rats showed DNA smearing, which could be reduced with simultaneous administration either with

folic acid or a combination of folic acid + vitamin B-12. Significantly, similar supplementations were found effective in increasing the urinary clearance of arsenic. Together, these results indicate that folic acid and vitamin B-12 may be effective to reduce the arsenic-induced damage at molecular target level. (c) 2008 Wiley Periodicals, A-1210477 order Inc. Environ Toxicol 24: 377-387, 2009.”
“Rationale and aim: Injuries due to the accidental ingestion or aspiration of small parts have became a matter of interest in the last 30 years, focusing on the relationship between a proper prevention and the diminished frequency of occurrences. Small parts in commonly used objects represent a large sector of potential danger, taking explicit mouthing behavior of children in the first four years of life. In this paper the intent is to show the current situation of design projects and legislation around the world, meant to avoid the casual accidents due to manufacturing reasons. Proposed process and quality control standards seek to eliminate production errors and control materials to avoid deviation from the design.

Side effects, quality of life, subjective treatment adherence and

Side effects, quality of life, subjective treatment adherence and Epworth Sleepiness Scale (ESS) scores were assessed. Objective treatment adherence was calculated by reading the built-in run time counter of the PAP device. Anthropometric

selleck kinase inhibitor parameters, level of education, apnea-hypopnea index (AHI), ESS score and the type of PAP therapy prescribed at the time of the first stay in the sleep lab were collected retrospectively. Results: Median follow-up was 13 months (range 7-18 months). Of 303 patients (69 female, 234 male) available for this study, 191 patients (63%) still used the PAP device regularly (‘users’), while 83 (27.4%) had definitively discontinued PAP treatment (‘nonusers’). In the nonusers group, 29 patients (34.9%) discontinued PAP treatment within the first 3 months. In the users group, subjective PAP usage was 6.6 +/- 1.5 h/night and objective adherence was 4.7 +/- 2.3 h/night. Objective nightly use of PAP treatment correlated significantly with baseline AHI (r = 0.13, p = 0.041) but not with sex, age, body mass index, ESS score or education level. Patients with a low AHI and ESS score and patients without a coexisting ATM/ATR inhibitor medical condition or with

more than two comorbidities tended to discontinue PAP therapy more frequently. Conclusions: PAP treatment adherence has to be optimized in OSAS patients. When initiating PAP therapy, clinicians have to focus on those patients at risk for discontinuing treatment. Education sessions and closer follow-up are possible strategies to improve treatment adherence and to avoid treatment discontinuation. Copyright (C) 2011 S. Karger AG, Basel”
“Central compartment lymph node (CCLN) metastasis in papillary thyroid cancer (PTC) is associated with higher risk of loco-regional recurrence and distant metastasis. This study evaluated the prognostic implication of the number of metastatic CCLN in PTC.

Prospective data collection on 91 patients with PTC who underwent total thyroidectomy

and CCLN dissection with or without lateral neck dissection between January 2005 and December 2010 was made. Number of positive CCLN was correlated with known prognostic factors SNS-032 solubility dmso (age, gender, tumour size, extrathyroidal extension and lateral node metastasis).

Patients were divided into three groups according to the number of positive CCLN: group A = 0 (n = 35); B = 1-2 nodes (n = 32) and C = > 3 nodes (n = 24). The risk of lateral compartment disease increased in parallel with the number of positive CCLN (31 vs. 50 vs. 75 % in groups A-B-C, respectively; p < 0.004). Gender/age/tumour size/extrathyroidal extension did not correlate with number of positive CCLN. The increasing number of positive CCLN did not influence post-ablation iodine uptake (1.25 vs. 1.14 vs. 2.63 %) and correlated with mean thyroglobulin values at 1-year post-ablation (12.3 vs. 42.3 vs. 91.

Within these mechanisms, modulation of gamma-secretase activity,

Within these mechanisms, modulation of gamma-secretase activity, the activation of the peroxisome proliferator-activated receptor-gamma, binding to prostaglandin receptors or interactions at the blood-brain barrier may account for the observed protection from AD. This article reviews the current knowledge

and views on the above mechanisms and critically discusses current obstacles and the potential as future AD therapeutics.”
“Familial hemiplegic migraine (FHM) is a clinically and genetically heterogeneous disease most commonly linked to CACNA1A gene mutation Epilepsy rarely occurs in FHM and is seen predominantly with specific CACNA1A gene mutations Here we report Selleckchem 3 MA a sporadic case of FHM I linked to S218L CACNA1A gene mutation with the triad of prolonged hemiplegic migraine. cerebellar symptoms, and epileptic seizures Epilepsy in this syndrome follows the pattern of isolated unprovoked seizures occurring only during childhood and

hemiplegic migraine-provoked seizures occurring during adulthood Clinical and electrogtophic status epilepticus can occur during prolonged migraine attacks We suggest that patients with seizures, ataxia, and hemiplegic migraine be genetically tested for FHM Patients with prolonged hemiplegic migraine attacks and confusion should be tested with continuous EEG recording learn more to ascertain whether electrographic status is occurring, as intensive antiepileptic treatment not only resolves status but immediately stops hemiplegic migraine and improves associated neurological deficits (C) 2010 Elsevier Inc All rights reserved”
“Gas-liquid interfacial pulse discharge plasmas are generated in the wide range of gas pressures, where

an ionic liquid is used as the liquid electrode. By analyzing the characteristics of discharge SB273005 in vitro voltage and current, the discharge mechanisms at low and high pressures are found to be dominated by secondary electron emission and first Townsend ionization, respectively. Therefore, the discharge properties at low and high pressures are mainly determined by the cathode material and the discharge gas type, respectively. Furthermore, the plasma properties are investigated by a double Langmuir probe. The density of the positive pulse plasma is found to be much smaller than that of the negative pulse plasma, although the discharge voltage and current of the negative and positive pulse plasmas are of the same order of magnitude. The positive pulse discharge plasma is considered to quickly diffuse onto the chamber wall from the radially central region due to its high plasma potential compared with that in the peripheral region. (C) 2010 American Institute of Physics. [doi:10.1063/1.

However, 2 patients died of graft failure Univariate analyses id

However, 2 patients died of graft failure. Univariate analyses identified severe Child-Pugh score (>= 11) (P = 0.006; odds ratio [OR], 10.0; 95% confidence interval [CI], 1.9-51.5), requirement for plasma exchange or plasmapheresis (P = 0.009; OR, 10.0; 95% CI, 1.9-53.4), and ABO-incompatible transplantation (P = 0.0003; OR, 34.0; 95% CI, 4.7-248.3) as risk factors for onset of active TB infection. Conclusions. Patients having an elevated Child-Pugh score, plasma exchange or plasmapheresis, and ABO-incompatible BYL719 mouse transplantation should be considered at greater risk for active TB infection, and treatment for latent TB infection before transplantation should be considered.”
“BACKGROUND: Introducing an adduct into an extractant

system is an effective method of improving extraction performance. The effect of additives upon extraction is very important, especially in the case of interfacial behaviour. In most work published in the literature, there is little data on the interfacial behaviour of extractants and modifiers. As the mass transfer must pass through an interface, the influence of isooctanol on the interfacial activity and mass transfer of ytterbium(III) using 2-ethylhexylphosphonic acid mono-2-ethlhexyl ester has been investigated.

RESULTS: With increasing amounts of isooctanol, the interfacial LY2835219 tension and surface excess (Gamma(max)) of the 2-ethylhexylphosphonic acid mono-2-ethylhexyl

ester(HEHEHP)-isooctanol system decreased, and the area of the absorbed HEHEHP molecule (Amin) increased. The interfacial activity of the HEHEHP-isooctanol system varied significantly depending on ionic strength and temperature and the mass transfer flux decreased with increasing isooctanol content.

CONCLUSION: Isooctanol has a strong influence on the interfacial activity of the HEHEHP system. The influence of isooctanol on the mass transfer rate of ytterbium extraction has been discussed qualitatively. (C) 2008 Society of Chemical Industry”
“Contents Undernutrition before and after calving has a detrimental effect on the fertility of dairy

cows. The effect of nutritional stress was previously reported to influence gene expression in key tissues Stem Cell Compound Library manufacturer for metabolic health and reproduction such as the liver and the genital tract early after calving, but not at breeding, that is, between 70 and 90days post-partum. This study investigated the effects of pre- and post-partum mild underfeeding on global gene expression in the oviduct, endometrium and corpus luteum of eight multiparous Holstein cows during the early and middle phases of an induced cycle 80days post-partum. Four control cows received 100% of energy and protein requirements during the dry period and after calving, while four underfed received 80% of control diet. Oestrous synchronization treatment was used to induce ovulation on D80 post-partum. Oviducts, ovaries and the anterior part of each uterine horn were recovered surgically 4, 8, 12 and 15days after ovulation.

vivax was not satisfactory compared to the real-time PCR assay “<

vivax was not satisfactory compared to the real-time PCR assay.”
“The efficacy of conjugated linoleic acid (CLA) in diet supplements for milk fat reduction is well documented in several species. However, the mechanisms by which fatty acids regulate mammary lipogenesis remain largely unknown,

especially with regard to gene expression PFTα of enzyme and regulators. In this study, 8 Holstein dairy cows in their mid-lactation period were randomly divided into 2 groups. Control cows received a Ca salt of palm oil fatty acid dietary supplement, and those in the CLA group were fed Ca salts of CLA (Ca-CLA), all in a dose of approximately 200 g.cow(-1).day(-1) for 14 days. The milk yield was recorded daily, and protein, lactose, and fat in the milk were quantified every 3 days for 2 weeks. Fatty acids in the milk were analyzed with gas-liquid chromatography. Measurement of messenger RNA levels of the main lipogenic www.selleckchem.com/products/gdc-0068.html genes of lipoprotein lipase, acetyl-coenzyme A (CoA) carboxylase, fatty acid synthase, stearoyl-CoA desaturase, and transcription factors such as sterol response element binding protein 1 (SREBP1) and peroxisome proliferator-activated receptor gamma was performed in biopsy samples of mammary tissue on the last day. The results indicated that dietary Ca-CLA caused a continuous reduction of milk fat (P < 0.01) with no effect on milk

yield, milk protein, and lactose. The fatty acid profile in the milk from the CLA group differed from that from controls, and the yield of milk fatty acid decreased (P < 0.01) with Ca-CLA supplementation. The depressed expression of lipogenic genes (lipoprotein lipase, acetyl-CoA carboxylase, fatty acid synthase, and stearoyl-CoA desaturase) demonstrated inhibition of fatty acid de novo synthesis and uptake in the mammary gland of the CLA group. Furthermore, the gene expression of transcription

factor SREBP1 was also downregulated (P < 0.01), but peroxisome proliferator-activated receptor. was unchanged, suggesting that SREBP1 may play a key role in the regulation of lipogenic gene expression in the lactating mammary gland.”
“Objective. The aim of this study was to determine if warfarin should be withdrawn before a single tooth extraction on a patient with a prosthetic find more heart valve.

Study design. A quantitative decision tree was constructed to assess the expected utility values of 2 typical strategies to manage the dental extraction on a patient currently medicated with warfarin. Probabilities and utilities for a cardiovascular accident and major bleeding from a dental extraction were taken from the literature.

Results. The decision slightly favors withholding warfarin: generating an optimal expected utility value of 0.976 utile. This was only 0.02 utile higher than the alternative option of continuing warfarin for a dental extraction.

Conclusion.

Association between adult body weight and +2138InsCAGACC, another

Association between adult body weight and +2138InsCAGACC, another variant in the 3′ untranslated region of MC3R, has also been described.

Objective: The objective of this study was to examine associations of C17A + G241A

and + 2138InsCAGACC MC3R variants with children’s energy balance.

Design: Children aged 6-19 y were genotyped for MC3R C17A, G241A, HSP990 supplier and + 2138InsCAGACC. Subjects underwent studies of energy intake from a 9835-kcal food array (n = 185), resting energy expenditure (REE) by using indirect calorimetry (n = 302), or total daily energy expenditure (TEE) by using doubly labeled water (n = 120). Linear regression was used to examine the associations between MC3R polymorphisms and the measures of energy balance.

Results: Body mass index and fat mass were greater in those with double homozygosity for C17A + G241A (P = 0.001). After accounting for covariates (including body composition), the number of minor C17A + G241A alleles was associated with significantly greater energy intake (beta = +0.15, P = 0.02) but not altered REE or TEE. No significant associations were observed between Tyrosine Kinase Inhibitor Library in vitro + 2138InsCAGACC and measures

of either fat mass or energy balance.

Conclusions: C17A + G241A polymorphisms may be associated with pediatric obesity because of greater energy intake rather than because of diminished energy expenditure. + 2138InsCAGACC does not appear to be associated with obesity or measures of energy balance in children. Am J Clin Nutr 2009; 90: 912-20.”
“We assessed a sample of unselected adult asylum seekers to determine their

current mental health status and patterns of healthcare utilisation.

METHOD: We included 78 unselected adult asylum seekers after their first year of residence in the Zurich area of Switzerland. The Swiss Federal Office for Migration provided their names and addresses. The current mental health of the participants was assessed through diagnostic interviews. Their use of healthcare services and the resultant costs over a 12-month period were established by reference to the records of the responsible health insurance company.

RESULTS: Forty-one percent of participants had at least one psychiatric disorder, primarily major depression and posttraumatic stress disorder. Healthcare costs were about 1.8 Selleck Etomoxir times those of the average resident population. Asylum seekers sought medical advice more than twice as often as did average residents. While they presented high psychiatric morbidity, they received very little specific treatment.

CONCLUSION: Asylum seekers incur higher healthcare costs than comparable residents. Mentally ill asylum seekers are underdiagnosed and often inadequately treated.”
“S45A, a double recessive mutant at both the BnMs1 and BnMs2 loci in Brassica napus, produces no pollen in mature anthers and no seeds by self-fertilization.


“Background: Eplerenone (CAS 107724-20-9) prevents the bin


“Background: Eplerenone (CAS 107724-20-9) prevents the binding of aldosterone, a key hormone in the renin-angiotensin-aldosterone-system (RAAS), which is involved in the regulation of blood pressure and the pathophysiology of cardiovascular disease and is indicated, in addition to standard therapy including beta-blockers, to reduce the risk of cardiovascular mortality and morbidity in stable patients with left ventricular dysfunction (LVEF <= 40%) and clinical evidence of heart failure after recent myocardial infarction.

Objective: The aim of this study was to assess the bioequivalence

of a new eplerenone 50 mg formulation (test formulation) vs. the reference product, as required by European regulatory authorities Bafilomycin A1 chemical structure for the marketing of a generic product.

Methods: This was a single-center, randomized, single-dose, open-label, 2-way crossover study in healthy volunteers under fasting conditions.

Plasma samples were collected up to 24 h post-dosing and plasma eplerenone levels were determined by reversed phase high performance liquid chromatography and by tandem mass spectrometry detection (ie, the LC-MS/MS

method). Pharmacokinetic parameters were calculated using non-compartmental analysis.

Area under the concentration-time PARP cancer curve from time zero to time of last non-zero concentration (AUC(last)) and maximum observed concentration (C(max)) were the main evaluation criteria. All of the above-mentioned pharmacokinetic parameters were analyzed using 90% geometric confidence interval of the ratio (T/R) of least-squares means from the ANOVA of the In-transformed parameter. Tolerability

was monitored using physical examination, including vital sign measurements and laboratory analysis.

Results: According to the classical approach, the 90% geometric confidence intervals obtained by analysis of variance for AUC(last) and C(max) were within the pre-defined ranges (80.00-125.00%).

Conclusion: Bioequivalence between test and reference formulations, both in terms of rate and extension of absorption, under fasting conditions was concluded according to European guidelines. Both formulations were well tolerated.”
“OBJECTIVE: To selleck inhibitor assess the prevalence of established cardiovascular disease risk factors and to estimate 10-year absolute risk of cardiovascular disease after early-onset preeclampsia.

METHODS: We assessed major cardiovascular disease risk factors in 243 primiparous women with a history of early-onset preeclampsia (delivery at less than 34 weeks of gestation) at least 6 months after delivery; 374 healthy nonpregnant women of similar age served as a reference group.

RESULTS: After adjustment for age, we observed significantly higher means for body mass index, blood pressure, total and low-density lipoprotein cholesterol, triglycerides, glucose, and lower mean high-density lipoprotein cholesterol (all P<.01) in women with previous early-onset preeclampsia compared with the reference group.

Despite the antioxidant activity of seminal plasma, epididymis an

Despite the antioxidant activity of seminal plasma, epididymis and spermatozoa, OS damages sperm function and DNA integrity. Since antioxidants suppress the action of reactive oxygen species, these compounds have been used in the medical treatment of male infertility or have been added to the culture medium during sperm separation techniques. Nevertheless, the efficacy Birinapant Apoptosis inhibitor of such a treatment has been reported to be very limited. This may relate to: (i) patient selection bias; (ii) late

diagnosis of male infertility; (iii) lack of double-blind, placebo-controlled clinical trial; and/or (iv) use of end-points that are not good markers of the presence of OS. This review considers the effects of the main antioxidant compounds used in clinical practice. Overall, the data published suggest that no single antioxidant is able to enhance fertilizing capability in infertile men, whereas a combination of them seems to provide a better approach. Taking into account the pros and the cons of antioxidant treatment of male infertility, the potential advantages that it offers cannot be ignored. Therefore, antioxidant therapy should remain in the forefront of preventive medicine, including human reproductive medicine.”
“Common atrioventricular valve (CAVV) regurgitation is widely known as a risk factor for mortality and

Fontan completion in patients with functional single ventricle. Hence, we reviewed our surgical experience with CAVV learn more plasty in Fontan candidates.

Staged Fontan strategy and extracardiac total cavopulmonary connection as Fontan modification were our principal approaches in 1995. Since then, 38 consecutive Fontan candidates (21 males, median weight at operation was 7.0 kg and median age was 17 months old) underwent CAVV plasty. Right atrial isomerism was associated with 24 patients.

The initial CAVV plasty was performed before inter-stage bidirectional Glenn (BDG) in 3 patients, at BDG in 23, before Fontan in 4 and during Fontan 17DMAG mouse in 8. Since 1995, the modified Alfieri technique with a tailed, expanded, polytetrafluoroethylene tube as a bridging strip was the procedure for repair and 27 patients underwent the procedure. The mean follow-up period was 7.1 years (range 0-17 years).

Actuarial survival and freedom from CAVV replacement rates at 1, 5 and 10 years were 81, 70 and 67% and 89, 85 and 75%, respectively. Seven patients ultimately underwent CAVV replacement with one death. Twenty-three of the 38 patients completed Fontan operation (61%). Association with total anomalous pulmonary venous connection (P= 0.01) and CAVV plasty before BDG (P= 0.05) were risk factors for mortality.

CAVV plasty for patients with functional single ventricle is still challenging; however, the aggressive and repeated surgical intervention may contribute to provide better life-prognosis.