Document Detail

Surgical treatment of atrioventricular canal defect.
MedLine Citation:
PMID:  1191034     Owner:  NLM     Status:  MEDLINE    
Fifty-nine patients with congenital anomalies of the atrioventricular canal underwent operation and all survivors were followed up. In 42 patients with partial atrioventricular canal defects, ten had preoperative congestive heart failure. Three, or 7.1%, died of endomyocardial fibroelastosis, high pulmonary vascular resistance, and severe mitral regurgitation. A fourth patient later died of Wolff-Parkinson-White syndrome and fibrilation. Reoperations in five patients were all successful. No patients had persistent atrioventricular blocks, and all patients are asymptomatic. Two of these subjects continue to receive digoxin therapy, and one of them is believed to have substantial mitral insufficiency. Of the 17 patients who had complete atrioventricular canal defects, 13 had a divided common anterior leaflet attached to the septum by chordae tendineae, and four had undivided and unattached anterior leaflets. Two had previously undergone pulmonary banding, and nine were treated for congestive heart failure. Six died after operation. There were no reoperations. No patient presently has required a pacemaker. Two subjects have persistent cardiomegaly.
R L Hardesty; J R Zuberbuhler; H T Bahnson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  110     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1975 Nov 
Date Detail:
Created Date:  1976-01-10     Completed Date:  1976-01-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1391-6     Citation Subset:  AIM; IM    
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MeSH Terms
Cardiac Surgical Procedures / mortality
Child, Preschool
Heart Septal Defects, Atrial / pathology,  physiopathology,  surgery*
Heart Septal Defects, Ventricular / pathology,  physiopathology,  surgery*
Postoperative Complications
Retrospective Studies

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