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J Thorac Cardiovasc Surg 1994;107:1428-1431
© 1994 Mosby, Inc.

SURGERY FOR CONGENITAL HEART DISEASE

Total circular annuloplasty with absorbable suture for the repair of left atrioventricular valve regurgitation in atrioventricular septal defect

Niigata, Japan

From the Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, Niigata, Japan.

Received for publication Aug. 17, 1993. Accepted for publication Nov. 29, 1993. Address for reprints: Haruo Miyamura, MD, Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, Asahi-machi 1-757, Niigata City, 951, Japan.

Abstract

To obtain a better control of left atrioventricular valve regurgitation, we applied total circular annuloplasty with the use of absorbable sutures to 14 children with atrioventricular septal defect (six complete forms and eight incomplete forms). In the intraoperative period, a good coaptation of the leaflets was achieved and the regurgitation was minimized or disappeared. Follow-up studies with echocardiography for 13 survivors showed a gradual increase of annular size during the postoperative period. Ten patients of the survivor group (77%) maintained good valvular competency in a long-term period. Total circular annuloplasty is a simple and effective procedure to reduce the regurgitation and prevent the annular dilatation during the immediate postoperative period. (J THORAC CARDIOVASC SURG 1994;107:1428-31)

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