| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Journal of Thoracic and Cardiovascular Surgery, Vol 106, 387-394, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
FL Hanley, KN Fenton, RA Jonas, JE Mayer, NR Cook, G Wernovsky and AR Castaneda
Case histories of 301 patients with complete atrioventricular canal defect
presenting to our institution in infancy between January 1972 and January
1992 were reviewed with the purpose of identifying the factors responsible
for the observed improvement in perioperative mortality over this time
period. A retrospective analysis of hospital records examined 46
patient-related, morphologic, procedure-related, and postoperative
variables for associations with perioperative death and reoperation.
Operative mortality decreased significantly over the period of the study
from 25% before 1976 to 3% after 1987 (p < 0.0001). A number of the 46
variables examined showed trends over time that were similar to that for
mortality. Palliative procedures decreased over time. Reoperation for most
residual lesions also decreased to the degree that they were essentially
eliminated in recent years. The exception to this was reoperation for
postoperative left atrioventricular valve regurgitation, which also
decreased but remained at 7% in recent years. Both technical and
support-related procedural variables showed no trends over time, with the
exception of the performance of left atrioventricular valve annuloplasty,
which increased over time. Closure of the left-sided cleft was performed in
61% of the patients, with no trend over time. Annuloplasty and cleft
closure were not associated with less postoperative left atrioventricular
valve regurgitation, fewer reoperations, or lower mortality. Multivariate
logistic regression analysis identified only earlier year of operation, the
presence of double-orifice left atrioventricular valve, and postoperative
residual regurgitation of the left atrioventricular valve as risk factors
for death. Experience- related improvements in technical precision achieved
over time best account for the reduction in the rate of reoperation for
most types of residual lesions and also for the reduction in mortality. The
only residual lesion that has not been essentially completely eliminated is
left atrioventricular valve regurgitation, with reoperation for this lesion
having been reduced in recent years, but not eliminated. Improved
understanding of the structural and functional variability of the
atrioventricular valve in this lesion may be necessary before postoperative
dysfunction of this valve can be completely eliminated.
ARTICLES
Surgical repair of complete atrioventricular canal defects in infancy. Twenty-year trends
Department of Cardiovascular Surgery, Children's Hospital, Harvard Medical School, Boston, Mass.
This article has been cited by other articles:
|
|
 |
|
  A. Dragulescu, V. Fouilloux, O. Ghez, A. Fraisse, B. Kreitmann, and D. Metras Complete atrioventricular canal repair under 1 year: rastelli one-patch procedure yields excellent long-term results. Ann. Thorac. Surg., November 1, 2008; 86(5): 1599 - 1606. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Suzuki, E. L. Bove, E. J. Devaney, T. Ishizaka, C. S. Goldberg, J. C. Hirsch, and R. G. Ohye Results of definitive repair of complete atrioventricular septal defect in neonates and infants. Ann. Thorac. Surg., August 1, 2008; 86(2): 596 - 602. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. P. Malhotra, F. Lacour-Gayet, M. B. Mitchell, D. R. Clarke, M. L. Dines, and D. N. Campbell Reoperation for left atrioventricular valve regurgitation after atrioventricular septal defect repair. Ann. Thorac. Surg., July 1, 2008; 86(1): 147 - 152. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. M. Gaca, J. J. Jaggers, L. T. Dudley, and G. S. Bisset III Repair of Congenital Heart Disease: A Primer--Part 2 Radiology, July 1, 2008; 248(1): 44 - 60. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. L. Backer, R. D. Stewart, F. Bailliard, A. M. Kelle, C. L. Webb, and C. Mavroudis Complete Atrioventricular Canal: Comparison of Modified Single-Patch Technique With Two-Patch Technique Ann. Thorac. Surg., December 1, 2007; 84(6): 2038 - 2046. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. R. Singh, P. S. Warren, T. B. Reece, P. Ellman, B. B. Peeler, and I. L. Kron Early Repair of Complete Atrioventricular Septal Defect is Safe and Effective Ann. Thorac. Surg., November 1, 2006; 82(5): 1598 - 1602. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I. A. Russell, K. Rouine-Rapp, G. Stratmann, and W. C. Miller-Hance Congenital heart disease in the adult: a review with internet-accessible transesophageal echocardiographic images. Anesth. Analg., March 1, 2006; 102(3): 694 - 723. [Full Text] [PDF]
|
|
|
|
 |
|
 D. Journois, C. Baufreton, P. Mauriat, P. Pouard, P. Vouhe, and D. Safran Effects of Inhaled Nitric Oxide Administration on Early Postoperative Mortality in Patients Operated for Correction of Atrioventricular Canal Defects Chest, November 1, 2005; 128(5): 3537 - 3544. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. C. De Oliveira, R. Sittiwangkul, B. W. McCrindle, A. Dipchand, T.-J. Yun, J. G. Coles, C. Caldarone, W. G. Williams, and G. S. Van Arsdell Biventricular repair in children with atrioventricular septal defects and a small right ventricle: Anatomic and surgical considerations J. Thorac. Cardiovasc. Surg., August 1, 2005; 130(2): 250 - 257. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Barrea, S. Levasseur, K. Roman, M. Nii, J. G. Coles, W. G. Williams, and J. F. Smallhorn Three-dimensional echocardiography improves the understanding of left atrioventricular valve morphology and function in atrioventricular septal defects undergoing patch augmentation J. Thorac. Cardiovasc. Surg., April 1, 2005; 129(4): 746 - 753. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Masuda, H. Kado, Y. Tanoue, K. Fukae, T. Onzuka, Y. Shiokawa, T. Shirota, and H. Yasui Does Down syndrome affect the long-term results of complete atrioventricular septal defect when the defect is repaired during the first year of life? Eur. J. Cardiothorac. Surg., March 1, 2005; 27(3): 405 - 409. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Pretre, H. Dave, A. Kadner, D. Bettex, and M. I. Turina Direct closure of the septum primum in atrioventricular canal defects J. Thorac. Cardiovasc. Surg., June 1, 2004; 127(6): 1678 - 1681. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. S. Fortuna, D. A. Ashburn, N. Carias De Oliveira, H. M. Burkhart, I. E. Konstantinov, J. G. Coles, J. F. Smallhorn, W. G. Williams, and G. S. Van Arsdell Atrioventricular septal defects: effect of bridging leaflet division on early valve function Ann. Thorac. Surg., March 1, 2004; 77(3): 895 - 902. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Stellin, V.L. Vida, O. Milanesi, G. Rizzoli, M. Rubino, M.A. Padalino, R. Bonato, and D. Casarotto Surgical treatment of complete A-V canal defects in children before 3 months of age Eur. J. Cardiothorac. Surg., February 1, 2003; 23(2): 187 - 193. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Boening, J. Scheewe, K. Heine, J. Hedderich, D. Regensburger, H.-H. Kramer, and J. Cremer Long-term results after surgical correction of atrioventricular septal defects Eur. J. Cardiothorac. Surg., August 1, 2002; 22(2): 167 - 173. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Lindberg, A. K. Olsson, P. Jogi, and C. Jonmarker How common is severe pulmonary hypertension after pediatric cardiac surgery? J. Thorac. Cardiovasc. Surg., June 1, 2002; 123(6): 1155 - 1163. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. O Al Qethamy, S. Aboelnazar, K. Aizaz, and Y. Al Faraidi Play Safe: Band the Late Presenting Complete Atrioventricular Canal Asian Cardiovasc Thorac Ann, March 1, 2002; 10(1): 31 - 34. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Nakano, H. Kado, Y.-i. Shiokawa, and K. Fukae Surgical results of double-orifice left atrioventricular valve associated with atrioventricular septal defects Ann. Thorac. Surg., January 1, 2002; 73(1): 69 - 75. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. A. Crawford Jr and M. R. Stroud Surgical repair of complete atrioventricular septal defect Ann. Thorac. Surg., November 1, 2001; 72(5): 1621 - 1629. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Oshima, M. Yamaguchi, N. Yoshimura, S. Oka, and Y. Ootaki Anatomically corrective repair of complete atrioventricular septal defects and major cardiac anomalies Ann. Thorac. Surg., August 1, 2001; 72(2): 424 - 429. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Sittiwangkul, R. Y. Ma, B. W. McCrindle, J. G. Coles, and J. F. Smallhorn Echocardiographic assessment of obstructive lesions in atrioventricular septal defects J. Am. Coll. Cardiol., July 1, 2001; 38(1): 253 - 261. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. Marino, S. Anaclerio, R. Di Donato;, R.-K. R. Chang, and T. S. Klitzner Age at Operation for Children With Atrioventricular Canal Pediatrics, July 1, 2001; 108(1): 217 - 217. [Full Text]
|
|
|
|
|
|
W. M. Southgate, D. J. Annibale, T. C. Hulsey, and D. M. Purohit International Experience With Trisomy 21 Infants Placed on Extracorporeal Membrane Oxygenation Pediatrics, March 1, 2001; 107(3): 549 - 552. [Abstract] [Full Text]
|
|
|
|
|
|
L. Mace, P. Dervanian, L. Houyel, E. Chaillon-Fracchia, D. Piot, V. Lambert, J. Losay, and J.-Y. Neveux Surgically created double-orifice left atrioventricular valve: A valve-sparing repair in selected atrioventricular septal defects J. Thorac. Cardiovasc. Surg., February 1, 2001; 121(2): 0352 - 365. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. C. Poirier, W. G. Williams, G. S. Van Arsdell, J. G. Coles, J. F. Smallhorn, A. Omran, and R. M. Freedom A novel repair for patients with atrioventricular septal defect requiring reoperation for left atrioventricular valve regurgitation Eur. J. Cardiothorac. Surg., July 1, 2000; 18(1): 54 - 61. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. B. McElhinney, S. Paridon, and T. L. Spray AORTOPULMONARY WINDOW ASSOCIATED WITH COMPLETE ATRIOVENTRICULAR SEPTAL DEFECT J. Thorac. Cardiovasc. Surg., June 1, 2000; 119(6): 1284 - 1285. [Full Text] [PDF]
|
|
|
|
|
|
R.-K. R. Chang, A. Y. Chen, and T. S. Klitzner Factors Associated With Age at Operation for Children With Congenital Heart Disease Pediatrics, May 1, 2000; 105(5): 1073 - 1081. [Abstract] [Full Text]
|
|
|
|
|
|
J. Wetter, N. Sinzobahamvya, C. Blaschczok, A.-M. Brecher, L. M. Gravinghoff, A. A. Schmaltz, and A. E. Urban Closure of the zone of apposition at correction of complete atrioventricular septal defect improves outcome Eur. J. Cardiothorac. Surg., February 1, 2000; 17(2): 146 - 153. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. A. Nicholson, G. R. Nunn, G. F. Sholler, R. E. Hawker, S. G. Cooper, K. C. Lau, and S. L. H. Cohn SIMPLIFIED SINGLE PATCH TECHNIQUE FOR THE REPAIR OF ATRIOVENTRICULAR SEPTAL DEFECT J. Thorac. Cardiovasc. Surg., October 1, 1999; 118(4): 642 - 647. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Åmark and J. Sunnegårdh The effect of changing attitudes to Down's syndrome in the management of complete atrioventricular septal defects Arch. Dis. Child., August 1, 1999; 81(2): 151 - 154. [Abstract] [Full Text]
|
|
|
|
|
|
M. A. Gatzoulis, S. Hechter, G. D. Webb, and W. G. Williams Surgery for partial atrioventricular septal defect in the adult Ann. Thorac. Surg., February 1, 1999; 67(2): 504 - 510. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. K. Najm, G. S. Van Arsdell, S. Watzka, L. Hornberger, J. G. Coles, and W. G. Williams PRIMARY REPAIR IS SUPERIOR TO INITIAL PALLIATION IN CHILDREN WITH ATRIOVENTRICULAR SEPTAL DEFECT AND TETRALOGY OF FALLOT J. Thorac. Cardiovasc. Surg., December 1, 1998; 116(6): 905 - 913. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. B. O'Blenes, D. B. Ross, M. A. Nanton, and D. A. Murphy Atrioventricular septal defect with tetralogy of fallot: results of surgical correction Ann. Thorac. Surg., December 1, 1998; 66(6): 2078 - 2082. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Suzuki, K. Tatsuno, T. Kikuchi, and S. Mimori Predisposing factors of valve regurgitation in complete atrioventricular septal defect J. Am. Coll. Cardiol., November 1, 1998; 32(5): 1449 - 1453. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. M. Reddy, D. B. McElhinney, M. M. Brook, A. J. Parry, and F. L. Hanley Atrioventricular valve function after single patch repair of complete atrioventricular septal defect in infancy: How early should repair be attempted? J. Thorac. Cardiovasc. Surg., May 1, 1998; 115(5): 1032 - 1036. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. A. M. van Son, C. K. Phoon, N. H. Silverman, and G. S. Haas Predicting Feasibility of Biventricular Repair of Right-Dominant Unbalanced Atrioventricular Canal Ann. Thorac. Surg., June 1, 1997; 63(6): 1657 - 1663. [Abstract] [Full Text]
|
|
|
|
|
|
J. S. Tweddell, S. B. Litwin, S. Berger, D. Z. Friedberg, J. P. Thomas, P. C. Frommelt, M. A. Frommelt, A. N. Pelech, D. A. Lewis, R. T. Fedderly, et al. Twenty-Year Experience With Repair of Complete Atrioventricular Septal Defects Ann. Thorac. Surg., August 1, 1996; 62(2): 419 - 424. [Abstract] [Full Text]
|
|
|
|
|
|
V. Alexi-Meskishvili, K. Ishino, I. Dahnert, F. Uhlemann, Y. Weng, P. E. Lange, and R. Hetzer Correction of Complete Atrioventricular Septal Defects With the Double-Patch Technique and Cleft Closure Ann. Thorac. Surg., August 1, 1996; 62(2): 519 - 524. [Abstract] [Full Text]
|
|
|
|
|
|
C. Baufreton, D. Journois, F. Leca, W. Khoury, D. Tamisier, and P. Vouhe TEN-YEAR EXPERIENCE WITH SURGICAL TREATMENT OF PARTIAL ATRIOVENTRICULAR SEPTAL DEFECT: RISK FACTORS IN THE EARLY POSTOPERATIVE PERIOD J. Thorac. Cardiovasc. Surg., July 1, 1996; 112(1): 14 - 20. [Abstract] [Full Text]
|
|
|
|
|
|
H. Velvis, M. H. Hines, H. S. Klopfenstein, D. D. Berry, and J. Vinten-Johansen DEPRESSION OF CARDIAC FUNCTION AFTER DEEP HYPOTHERMIC CIRCULATORY ARREST IN DEEPLY ANESTHETIZED NEONATAL LAMBS J. Thorac. Cardiovasc. Surg., February 1, 1996; 111(2): 359 - 366. [Abstract] [Full Text]
|
|
|
|
|
|
E. K. W. Sim, M. D. Black, J. Smallhorn, and W. G. Williams Surgical Repair of Complete Atrioventricular Septal Canal Defects With Absent Posterior Leaflet Ann. Thorac. Surg., November 1, 1995; 60(5): 1399 - 1400. [Abstract] [Full Text]
|
|
|
|
|
|
K. Bando, M. W. Turrentine, K. Sun, T. G. Sharp, G. J. Ensing, A. P. Miller, K. A.Kesler, R. S. Binford, G. N. Carlos, R. A. Hurwitz, et al. SURGICAL MANAGEMENT OF COMPLETE ATRIOVENTRICULAR SEPTAL DEFECTSA twenty-year experience J. Thorac. Cardiovasc. Surg., November 1, 1995; 110(5): 1543 - 1554. [Abstract] [Full Text]
|
|
|
|
|
|
C. L. Backer, C. Mavroudis, E. T. Alboliras, and V. R. Zales Repair of Complete Atrioventricular Canal Defects: Results With the Two-Patch Technique Ann. Thorac. Surg., September 1, 1995; 60(3): 530 - 537. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
