Hostname: page-component-7479d7b7d-jwnkl Total loading time: 0 Render date: 2024-07-14T21:01:39.311Z Has data issue: false hasContentIssue false

Long-term left atrioventricular valvar function following surgical repair of atrioventricular septal defect

Published online by Cambridge University Press:  19 August 2008

Ling Han
Affiliation:
From the Division of Pediatric Cardiology, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh
Soon Ung Kang
Affiliation:
From the Division of Pediatric Cardiology, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh
Sang C. Park*
Affiliation:
From the Division of Pediatric Cardiology, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh
Jose A. Ettedgui
Affiliation:
From the Division of Pediatric Cardiology, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh
William H. Neches
Affiliation:
From the Division of Pediatric Cardiology, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh
*
Dr. Sang C. Park, Children's Hospital of Pittsburgh, Pittsburgh, PA 15213, USA. Tel. (412) 692-5540.

Abstract

Long-term left atrioventricular valvar function was evaluated in 95 of 110 survivors following surgical repair of atrioventricular septal defect between 1975 and 1984. A common or complete form was present in 40 and a partitioned or partial form in 55 patients. The patients have been followed for three to 13 years with a mean of 8.3 years. Pulmonary arterial banding was performed in 17 patients with a common atrioventricular valve prior to complete repair. The left atrioventricular valvar regurgitation was evaluated by clinical examination, Doppler and/or angiography. Three patients required valvar replacement postoperatively. Previous pulmonary arterial banding, pulmonary hypertension or pulmonary-to-systemic flow ratio did not affect the incidence or severity of left atrioventricular valvar regurgitation postoperatively. In this series left atrioventricular valvar regurgitation increased in the early postoperative period but rarely progressed at late follow-up.

Type
Original Manuscripts
Copyright
Copyright © Cambridge University Press 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Becker, AE, Anderson, RH. Atrioventricular septal defect: “What's in a name?” J Thorac Cardiovasc Surg 1982; 83: 461469.CrossRefGoogle Scholar
2.Bender, HW Jr, Hammon, JW Jr, Hubbard, SG, Muirhead, J, Graham, TP. Repair of atrioventricular canal malformation in the first year of life. J Thorac Cardiovasc Surg 1982; 84: 515522.CrossRefGoogle ScholarPubMed
3.Chin, AJ, Keane, JF, Norwood, WI, Castaneda, AR. Repair of complete common atrioventricular canal in infancy. J Thorac Cardiovasc Surg 1982; 85: 437446.CrossRefGoogle Scholar
4.Kirklin, JW, Blackstone, EH, Bargeron, LM Jr, Pacifico, AD, Kirklin, JK. The repair of atrioventricular septal defect in infancy. Int J Cardiol 1986; 13: 333351.CrossRefGoogle ScholarPubMed
5.Yasui, H, Nakamura, Y, Kado, JH, Yonenaga, K, Shiokawa, Y, Fusazaki, N, Sunagawa, H, Tokunaga, K. Primary repair for complete atrioventricular canal: recommendation for early primary repair. J Cardiovasc Surg 1990; 31: 498504.Google ScholarPubMed
6.Studer, M, Blackstone, EH, Kirklin, JW, Pacifico, AD, Soto, B, Chung, GK, Kirklin, JK, Bargeron, LM Jr. Determinants of early and late results of repair of atrioventricular septal (canal) defects. J Thorac Cardiovasc Surg 1982; 84: 523542.CrossRefGoogle ScholarPubMed
7.McGrath, LB, Gonzalez-Lavin, L. Actuarial survival, freedom from reoperation, and other events after repair of atrioventricular septal defects. J Thorac Cardiovasc Surg 1987; 94: 582590.CrossRefGoogle ScholarPubMed
8.Stewart, S, Harris, P, Manning, J. Complete endocardial cushion defect: the late result of repair using the single-patch technique. Ann Thorac Surg 1985; 39: 234237.CrossRefGoogle ScholarPubMed
9.Laks, H, Capouya, ER, Pearl, JM; Elami, A, Drinkwater, DC. Technique of management of the left atrioventricular valve in the repair of atrioventricular septal defect with a common atrioventricular orifice. Cardiol Young 1991; 1: 356366.CrossRefGoogle Scholar
10.Bove, EL, Sondheimer, HM, Kavey, RE, Byrum, CJ, Blackman, MS. Results with the two-patch technique for repair of complete atrioventricular septal defect. Ann Thorac Surg 1984; 38: 157161.CrossRefGoogle ScholarPubMed
11.Weintraub, RG, Brawn, WJ, Venables, AW, Mee, RBB. Twopatch repair of complete atrioventricular septal defect in the first year of life. J Thorac Cardiovasc Surg 1990; 99: 320326.CrossRefGoogle ScholarPubMed
12.Carpentier, A. Surgical anatomy and management of the mitral component of atrioventricular canal defects. In: Anderson, RH, Shinebourne, EA (eds). Paediatric Cardiology 1977. Churchill Livingstone, Edinburgh, 1978, pp 477490.Google Scholar
13.Pozzi, M, Remig, J, Fimmers, R, Urban, AE. Atrioventricular septal defects: analysis of short-and medium-term results. J Thorac Cardiovasc Surg 1991; 101: 138142.CrossRefGoogle ScholarPubMed
14.Tandon, R, Moller, JH, Edwards, JE. Single papillary muscle of the left ventricle associated with persistent common atrioventricular canal: variant of parachute mitral valve. Pediatr Cardiol 1986; 7: 111114.CrossRefGoogle ScholarPubMed
15.Lacour-Gayet, F, Comas, J, Bruniaux, J, Serraf, A, Losay, J, Petit, J, Dervanian, P, Planche, C. Management of the left atrioventricular valve in 95 patients with atrioventricular septal defects and a common atrioventricular orifice—a ten year review. Cardiol Young 1991; 1: 367373.CrossRefGoogle Scholar
16.Ungerleider, RM, Kisslo, JA, Greeley, WJ, Van Trigt, P, Sabiston, DC Jr. Intraoperative pre-bypass and post-bypass epicardial color flow imaging in the repair of atrioventricular septal defects. J Thorac Cardiovasc Surg 1989; 98: 9099.CrossRefGoogle Scholar
17.Smallhorn, JF, Perrin, D, Musewe, N, Dyek, J, Boutin, C, Freedom, RM. The role of transesophageal echocardiography in the evaluation of patients with atrioventricular septal defect. Cardiol Young 1991; 1: 324333.CrossRefGoogle Scholar
18.Lecompte, Y, Crupi, G. Atrioventricular septal defect—the need for flexible surgical approach in a lesion with markedly individual features. Cardiol Young 1991; 1: 261263. [Editorial]CrossRefGoogle Scholar
19.Ross, DA, Nanton, M, Gillis, DA, Murphy, DA. Atrioventricular canal defects: results of repair in the current era. J Cardio Surg 1991; 6: 367372.CrossRefGoogle ScholarPubMed
20.Ebels, T, Anderson, RH, Devine, WA, Debich, DE, Penkoske, OA, Zuberbuhler, JR. Anomalies of the left atrioventricular valve and related ventricular septal morphology in atrioventricular septal defects. J Thorac Cardiovasc Surg 1990; 99: 299307.CrossRefGoogle ScholarPubMed
21.Abbruzzese, PA, Napoleone, A, Bini, RM, Annecchino, FP, Merlo, M, Paraenzan, L. Late left atrioventricular valve insufficiency after repair of partial atrioventricular septal defects: anatomical and surgical determinants. Ann Thorac Surg 1990; 49: 111114.CrossRefGoogle ScholarPubMed
22.Silverman, N, Levitsky, S, Fisher, E, DuBrow, I, Hastreiter, A, Scagliotti, D. Efficacy of pulmonary artery banding in infants with complete atrioventricular canal. Circulation 1983; 68(Suppl II): II148II153.Google ScholarPubMed
23.McGrath, LB, Kirklin, JW, Soto, B, Bargeron, LM Jr. Secondary left atrioventricular valve replacement in atrioventricular septal (AV canal) defect: a method to avoid left ventricular outflow tract obstruction. J Thorac Cardiovasc Surg 1985; 89: 632635.CrossRefGoogle ScholarPubMed
24.Kadoba, K, Jonas, RA. Replacement of the left atrioventricular valve after repair of atrioventricular septal defect. Cardiol Young 1991; 1: 383389.CrossRefGoogle Scholar
25.Ebels, T. Surgery of the left atrioventricular valve and of the left ventricular outflow tract in atrioventricular septal defect. Cardiol Young 1991; 1: 344355.CrossRefGoogle Scholar
26.Barrett, MG, Chopra, PS, Young, WP. Long-term follow-up of partial atrioventricular septal defect in adults. Chest 1988; 94: 321324.CrossRefGoogle Scholar