Document Detail

Direct closure of ostium primum defect in the repair of atrioventricular septal defect.
MedLine Citation:
PMID:  11515878     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Patch closure is generally performed for atrial septation of an atrioventricular septal defect. We recently developed a new surgical technique for repairing atrioventricular septal defects that avoids the use of any patch material for closing the atrial septal defect. We report our experience with this procedure. METHODS: Seven patients (complete type: 5, partial type: 2) underwent this new operation. The diameters of the atrial septal defects were measured by transesophageal echocardiography. The preoperative electrocardiograms were compared with those taken after the operations. RESULTS: Diameters of the atrial defects ranged from 3 to 10 mm. Electrocardiograms before and after the operations did not change. No significant atrioventricular valve regurgitation and no residual shunts were detected by postoperative echocardiography. CONCLUSIONS: This method simplifies the repair of atrioventricular septal defects. In the short-term results, no arrhythmia and no valve regurgitation was seen.
M Chikada; A Sekiguchi; T Miyamoto; M Matsuzaki; R Ishida; A Ishizawa
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Publication Detail:
Type:  Evaluation Studies; 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:  430-2; discussion 432-3     Citation Subset:  AIM; IM    
Division of Cardiovascular Surgery, National Children's Hospital, Tokyo, Japan.
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MeSH Terms
Blood Vessel Prosthesis Implantation*
Child, Preschool
Echocardiography, Transesophageal
Endocardial Cushion Defects / mortality,  surgery*,  ultrasonography
Follow-Up Studies
Polyethylene Terephthalates*
Postoperative Complications / mortality,  ultrasonography
Survival Rate
Suture Techniques
Treatment Outcome
Reg. No./Substance:
0/Polyethylene Terephthalates

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

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