Document Detail


Mid-to-long term follow-up after surgical repair of atrioventricular septal defect with common atrioventricular junction and ventricular shunting associated with tetralogy of Fallot.
MedLine Citation:
PMID:  18197999     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Our aim is to describe our surgical approach in dealing with patients having atrioventricular septal defect with common atrioventricular junction and ventricular shunting associated with tetralogy of Fallot over the last 8 years, and to present our results in mid-to-long term follow-up. METHODS: Between November 1995 and January 2004, we performed surgical correction in 8 consecutive children with atrioventricular septal defect, common atrioventricular junction, interventricular shunting, and associated tetralogy of Fallot. The age at surgical correction varied from 8 months to 20 years, with a mean of 45 months, and standard deviation of 74 months. A palliative systemic-to-pulmonary shunt had previously been performed in 3 patients. Follow-up ranged from 57 to 135 months, with a mean of 93.5 months, and standard deviation of 32 months. We used a two-patch technique to repair of the atrioventricular septal defect, and a pericardial transjunctional patch for relief of the obstruction in the right ventricular outflow tract. RESULTS: There were no deaths, nor reoperations either in the postoperative period or during follow-up. All patients are asymptomatic, or in the second class created by the New York Heart Association. The mean period of cardiopulmonary by-pass was 136 minutes, and the mean stay in hospital was 11.8 days. At the last examination, pulmonary valvar insufficiency was considered severe in 2 patients, and moderate in another 2. No patient developed more than a trace of regurgitation across the reconstituted left atrioventricular valve. CONCLUSIONS: The two-patch technique, associated with ventriculotomy and a transjunctional pulmonary patch is safe and efficient when correcting atrioventricular septal defect associated with tetralogy of Fallot, resulting in good mid-to-long term clinical outcomes.
Authors:
Leonardo S Canale; Andrey J O Monteiro; Isabela Rangel; Divino F Pinto; Paulo Soares; Rosa C Barbosa; Milton A Meier; Miguel L B Marcial
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-01-15
Journal Detail:
Title:  Cardiology in the young     Volume:  18     ISSN:  1047-9511     ISO Abbreviation:  Cardiol Young     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-01-31     Completed Date:  2008-07-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200019     Medline TA:  Cardiol Young     Country:  England    
Other Details:
Languages:  eng     Pagination:  100-4     Citation Subset:  IM    
Affiliation:
Cardiac Surgery Department, Pro-Cardíaco Hospital, Vieira Souto Avenue no. 208, Ipanema, Rio de Janeiro, Brazil. leonardo.canale@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cardiac Surgical Procedures / methods*
Child
Child, Preschool
Echocardiography, Doppler
Follow-Up Studies
Heart Septal Defects, Atrial / physiopathology,  surgery*,  ultrasonography
Heart Septal Defects, Ventricular / physiopathology,  surgery*,  ultrasonography
Humans
Infant
Postoperative Period
Reoperation
Retrospective Studies
Tetralogy of Fallot / physiopathology,  surgery*,  ultrasonography
Time Factors
Treatment Outcome
Ventricular Function / physiology

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


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