| Repair of complete atrioventricular canal. 15 year's experience. | |
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MedLine Citation:
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PMID: 1835130 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Corrective surgery for complete atrioventricular canal was performed over a 15-year period on 72 patients, 49 of whom had Down's syndrome: 46 were without major associated cardiac anomalies and 15 had previously undergone pulmonary artery banding. The pressures in the right and left ventricles equilibrated in 77% of the patients. The early mortality rate was 18% and the late mortality 7%. At follow-up 4% of the patients had severe mitral incompetence and 6% had severe tricuspid incompetence. The mean reduction of pulmonary artery pressure was 40 mmHg. The mean peak systolic pressure ratio between pulmonary artery and aorta was 0.73 before repair and had fallen to 0.38 at follow-up catheterization, when 88% of the patients were asymptomatic. Early repair in the first year of life is nowadays preferred in order to avoid progressive pulmonary vascular disease. Although the alternative of first-stage pulmonary artery banding gave lower (13%) mortality at the corrective operation, it cannot be recommended if atrioventricular valvular incompetence is significant. |
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Authors:
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C Frid; C Thorén; K Böök; V O Björk |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Scandinavian journal of thoracic and cardiovascular surgery Volume: 25 ISSN: 0036-5580 ISO Abbreviation: Scand J Thorac Cardiovasc Surg Publication Date: 1991 |
Date Detail:
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Created Date: 1991-12-20 Completed Date: 1991-12-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0121343 Medline TA: Scand J Thorac Cardiovasc Surg Country: SWEDEN |
Other Details:
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Languages: eng Pagination: 101-5 Citation Subset: IM |
Affiliation:
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Pediatric Department, St Göran's Children's Hospital, Stockholm, Sweden. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Child, Preschool Constriction Down Syndrome / complications Endocardial Cushion Defects / complications, mortality, surgery* Female Follow-Up Studies Heart Catheterization Humans Hypertension, Pulmonary / prevention & control Infant Male Pulmonary Artery Pulmonary Wedge Pressure / physiology Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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