Document Detail

Anatomically corrective repair of complete atrioventricular septal defects and major cardiac anomalies.
MedLine Citation:
PMID:  11515877     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Although satisfactory results of corrective surgery for atrioventricular septal defects (AVSDs) with complex lesions such as double-outlet right ventricle (DORV) or atrial isomerism have been reported in recent years, the optimal surgical options for isomerism hearts is still a controversial issue. METHODS: We performed anatomically corrective repair on 13 children with balanced forms of complete AVSDs and associated major cardiac anomalies. Eight of the 13 patients had atrial isomerism (right in 1, left in 7), 5 of whom had DORV. Four others had DORV with trisomy 21, and 1 had tetralogy of Fallot. Atrial septation for isomerism with the placement of an additional prosthesis was performed on 4 patients. RESULTS: Two hospital deaths and one late death occurred only in the isomerism group. Three reoperations were required solely in the left isomerism group: one replacement of the valved external conduit concomitantly with reconstruction of the left ventricular outflow obstruction, one mitral valve replacement for severe regurgitation of left atrioventricular valve, and one relief of progressing left ventricular outflow obstruction. CONCLUSIONS: The results of anatomically corrective surgery for AVSDs with major associated cardiac anomalies in the nonisomerism group were excellent. The optimal surgical options for isomerism heart, however, remain a controversial issue.
Y Oshima; M Yamaguchi; N Yoshimura; S Oka; Y Ootaki
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  72     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2001 Aug 
Date Detail:
Created Date:  2001-08-22     Completed Date:  2001-09-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  424-9     Citation Subset:  AIM; IM    
Department of Cardiothoracic Surgery, Kobe Children's Hospital, Japan.
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MeSH Terms
Double Outlet Right Ventricle / mortality,  surgery
Endocardial Cushion Defects / mortality,  surgery*
Follow-Up Studies
Heart Atria / abnormalities,  surgery
Heart Defects, Congenital / mortality,  surgery*
Heart Septal Defects / mortality,  surgery*
Hospital Mortality
Infant, Newborn
Prosthesis Implantation
Survival Rate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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