Document Detail


Outcome after reoperation for atrioventricular septal defect repair.
MedLine Citation:
PMID:  19372100     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Results of surgical repair of atrioventricular septal defect (AVSD), both partial (PAVSD) and complete (CAVSD), have improved. However, reoperation is not uncommon. This report describes our experience in 59 patients who underwent reoperation after AVSD repair, between 1977 and 2008. Thirty-one patients had a PAVSD, 28 had a CAVSD. Mean interval between initial repair and reoperation was 10+/-11 years (PAVSD vs. CAVSD: 13+/-12 vs. 6+/-9 years, P=0.063). Reoperations were required for left atrioventricular valve regurgitation (LAVVR) in 53 patients (combined with right atrioventricular valve regurgitation in 10, atrial septal defect (ASD) in 11, ventricular septal defect (VSD) in 7, left ventricular outflow tract (LVOT) obstruction in 1, and aortic valve stenosis in 1), ASD in 3, and LVOT obstruction in 3. Valve repair was performed in 45 patients and replacement in 8. Repair techniques of the left-sided atrioventricular valve (LAVV) included cleft closure in 44 patients, commissuroplasty in 19, and annuloplasty in 1. Freedom from additional reoperation was 85%, and 80% at 5 and 15 years. Hospital mortality was 3%. Overall survival was 91%, and 86% after 5 and 15 years. The most common indication to undergo reoperation is LAVVR. Reoperation is safe and in the majority of cases, a durable repair of the LAVV can still be achieved.
Authors:
Ozcan Birim; Menno van Gameren; Peter L de Jong; Maarten Witsenburg; Lennie van Osch-Gevers; Ad J J C Bogers
Publication Detail:
Type:  Journal Article     Date:  2009-04-16
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  9     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-23     Completed Date:  2009-08-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  83-7     Citation Subset:  IM    
Affiliation:
Department of Cardio-Thoracic Surgery, Erasmus MC Rotterdam, Dr. Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands. o.birim@erasmusmc.nl
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Cardiac Surgical Procedures / adverse effects*,  mortality
Child
Child, Preschool
Female
Heart Septal Defects, Atrial / mortality,  surgery*
Heart Septal Defects, Ventricular / mortality,  surgery*
Hospital Mortality
Humans
Infant
Male
Middle Aged
Mitral Valve Insufficiency / etiology,  mortality,  surgery*
Reoperation
Time Factors
Treatment Outcome
Ventricular Outflow Obstruction / etiology,  mortality,  surgery*
Young Adult
Comments/Corrections
Comment In:
Interact Cardiovasc Thorac Surg. 2009 Jul;9(1):87-8   [PMID:  19546296 ]

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


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