Surgical Outcome of Reoperation Due to Left Atrioventricular Valve Regurgitation After Previous Correction of Complete Atrioventricular Septal Defect

2013 ◽  
Vol 28 (6) ◽  
pp. 756-763 ◽  
Author(s):  
Edvin Prifti ◽  
Massimo Bonacchi ◽  
Arben Baboci ◽  
Gabriele Giunti ◽  
Klodian Krakulli ◽  
...  
Keyword(s):  
Surgical Outcome ◽  
Septal Defect ◽  
Atrioventricular Septal Defect ◽  
Atrioventricular Valve ◽  
Valve Regurgitation ◽  
Complete Atrioventricular Septal Defect ◽  
Atrioventricular Valve Regurgitation ◽  
Complete Atrioventricular

scholarly journals Left Atrioventricular Valve Regurgitation After Repair of Complete Atrioventricular Septal Defect

2015 ◽  
Author(s):  
MARCELO FELIPE KOZAK ◽  
Ana Carolina L. F. B. M. KOZAK ◽  
Carlos Henrique De Marchi ◽  
Sirio Hassem Sobrinho Junior ◽  
Ulisses Alexandre Croti ◽  
...  
Keyword(s):  
Septal Defect ◽  
Atrioventricular Septal Defect ◽  
Atrioventricular Valve ◽  
Valve Regurgitation ◽  
Complete Atrioventricular Septal Defect ◽  
Atrioventricular Valve Regurgitation ◽  
Complete Atrioventricular

Surgical Repair of Complete Atrioventricular Septal Defect

1998 ◽  
Vol 6 (1) ◽  
pp. 37-40 ◽  
Author(s):  
Mohammed Jalal Uddin ◽  
Stojanovic Velimir ◽  
Abdul Latif Salama ◽  
Babu Othman ◽  
Lulu Othman ◽  
...  
Keyword(s):  
Septal Defect ◽  
Hypertensive Crisis ◽  
Atrioventricular Septal Defect ◽  
Atrioventricular Valve ◽  
Valve Regurgitation ◽  
Complete Atrioventricular Septal Defect ◽  
Atrioventricular Valve Regurgitation ◽  
The Mean ◽  
Pulmonary Hypertensive Crisis ◽  
Complete Atrioventricular

Between January 1988 and March 1996, 40 patients underwent repair of complete atrioventricular septal defect with a two-patch technique and routine atrioventricular valve cleft closure. The mean age of the patients was 10.8 ± 6.9 months and the mean weight was 6.6 ± 2.6 kg. Twenty-three had Down's syndrome and 13 had coexisting cardiac anomalies. Preoperative angiography and echocardiography revealed mild atrioventricular valve regurgitation in 22 patients, moderate regurgitation in 16, and severe regurgitation in the other 2. The mortality was 12.5% (4 early and 1 late deaths). The major cause of death was pulmonary hypertensive crisis. Reoperation was necessary in 3 patients; 2 had atrioventricular valve annuloplasty and one had prosthetic valve replacement. All 3 survived reoperation. Echocardiography at a mean of 32 ± 20 months postoperatively showed mild left atrioventricular valve regurgitation in 32 patients and moderate regurgitation in 3. Management of postoperative pulmonary hypertensive crisis and repair of complete atrioventricular septal defect before the development of high pulmonary vascular resistance may reduce the mortality of this surgical procedure.

scholarly journals Atrioventricular Valve Function Predicts Reintervention in Complete Atrioventricular Septal Defect

2020 ◽  
Vol 11 (2) ◽  
pp. 247-248
Author(s):  
Rinske Ijsselhof ◽  
Kimberlee Gauvreau ◽  
Pedro del Nido ◽  
Meena Nathan
Keyword(s):  
Septal Defect ◽  
Atrioventricular Septal Defect ◽  
Atrioventricular Valve ◽  
Valve Regurgitation ◽  
Technical Performance ◽  
Concomitant Procedure ◽  
Complete Atrioventricular Septal Defect ◽  
Atrioventricular Valve Regurgitation ◽  
Wide Range ◽  
Complete Atrioventricular

Objective: Technical performance score (TPS) has been associated with both early and late outcomes across a wide range of congenital cardiac procedures. A previous study has shown that the presence of residual lesions before discharge, as measured by TPS, is accurately able to identify patients who required postdischarge reinterventions after complete atrioventricular septal defect (CAVSD) repair. The aim of this study is to determine which subcomponents of TPS best predict postdischarge reinterventions after CAVSD repair. Methods: This was a single-center retrospective review of patients with CAVSD after repair between January 2000 and March 2016. We assigned TPS (class 1, no residua; class 2, minor residua; class 3, major residua or reintervention before discharge for residua) based on subcomponent scores from discharge echocardiograms. Outcome of interest was postdischarge reintervention. Results: Among 344 patients, median age was 3.2 months (interquartile range [IQR], 2.4-4.2). There were 34 (10%) postdischarge reinterventions. Median follow-up was 2.6 years (IQR, 0.09-7.9). Trisomy 21 and concomitant procedure were associated with postdischarge reinterventions. After adjusting for these factors, among the subcomponents, left atrioventricular valve stenosis and regurgitation, right atrioventricular valve regurgitation, residual ventricular septal defect, and abnormal conduction at discharge were significantly associated with postdischarge reinterventions. Conclusions: We demonstrated the ability of TPS to predict postdischarge reinterventions in patients who underwent CAVSD repair. Residual left and right atrioventricular valve regurgitation and abnormal conduction at discharge were among the subcomponents strongly associated with postdischarge reinterventions. Thus, TPS may aid clinicians in identifying children at higher risk for reintervention.

Development of Left Atrioventricular Valve Regurgitation After Correction of Atrioventricular Septal Defect

2005 ◽  
Vol 79 (2) ◽  
pp. 607-612 ◽  
Author(s):  
A. Derk Jan Ten Harkel ◽  
Adri H. Cromme-Dijkhuis ◽  
Bianca C.C. Heinerman ◽  
Wim C. Hop ◽  
Ad J.J.C. Bogers
Keyword(s):  
Septal Defect ◽  
Atrioventricular Septal Defect ◽  
Atrioventricular Valve ◽  
Valve Regurgitation ◽  
Atrioventricular Valve Regurgitation

Complete atrioventricular septal defect, Down syndrome, and surgical outcome: risk factors

2003 ◽  
Vol 75 (2) ◽  
pp. 412-421 ◽  
Author(s):  
Amira A Al-Hay ◽  
Stephanie J MacNeill ◽  
Magdi Yacoub ◽  
Darryl F Shore ◽  
Elliot A Shinebourne
Keyword(s):  
Risk Factors ◽  
Down Syndrome ◽  
Surgical Outcome ◽  
Septal Defect ◽  
Atrioventricular Septal Defect ◽  
Complete Atrioventricular Septal Defect ◽  
Complete Atrioventricular

Left atrioventricular valve regurgitation after repair of incomplete atrioventricular septal defect

2004 ◽  
Vol 77 (6) ◽  
pp. 2157-2162 ◽  
Author(s):  
Toshifumi Murashita ◽  
Takehiro Kubota ◽  
Jun-ichi Oba ◽  
Toshihide Aoki ◽  
Jun Matano ◽  
...  
Keyword(s):  
Septal Defect ◽  
Atrioventricular Septal Defect ◽  
Atrioventricular Valve ◽  
Valve Regurgitation ◽  
Atrioventricular Valve Regurgitation
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