Surgical Treatment of Complete Atrioventricular Septal Defect: The Early and Mid-Term Results / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 299-304, 2009.
Article
in Korean
| WPRIM
| ID: wpr-202431
ABSTRACT
BACKGROUND:
Although the results of the surgical management for complete atrioventricular septal defect (c-AVSD) have improved, the optimal surgical strategy is still controversial. The aims of this study are to evaluate the outcome of c-AVSD repair and to define the risk factors related to reoperation. MATERIAL ANDMETHOD:
We retrospectively reviewed the medical records of 35 patients (8 males and 27 females) who underwent the total correction of c-AVSD from August 1996 to March 2008. The median age at repair was 5.2 months (range 3 days~82 months). Sixteen patients (45.7%) were associated with Down syndrome. Prior palliative operations were performed in 4 patients. The one-patch techniques were performed in 3 patients, and the two-patch techniques were done in 32 patients.RESULT:
There was 1 early death (2.9%). The median follow-up period was 68 months (range 2~134 months) for 34 survivors. There was no late death. Reoperations were performed in 5 patients (14.3%) for severe left atrioventricular valvular regurgitation (AVVR). Nine patients (25.7%) showed left an AVVR of more than grade III. Associated major cardiac anomalies and the use of Gore-Tex patch for ventricular septal closure were the risk factors for postoperative left atrioventricular valve failure and reoperation.CONCLUSION:
In this study, we found that surgical repair of c-AVSD was safe and effective. However, the high reoperation rate after repair remains a problem to be solved.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Polytetrafluoroethylene
/
Reoperation
/
Medical Records
/
Retrospective Studies
/
Risk Factors
/
Follow-Up Studies
/
Down Syndrome
/
Survivors
/
Heart Septal Defects
/
Mitral Valve Insufficiency
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
/
Male
Language:
Korean
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2009
Type:
Article
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