Document Detail


The double patch repair for complete atrioventricularis communis.
MedLine Citation:
PMID:  17433987     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article is a review of our experience with the two-patch repair of complete atrioventricularis communis. From October 1988 through December 2005, 222 infants and children underwent surgery. There were six early (2.7%) and six late (2.7%) deaths. Reoperation was required in 22 patients (10%) for residual or recurrent mitral regurgitation or stenosis, subaortic stenosis, repair of a ventricular septal defect with or without pulmonary stenosis, placement of a right heart valved conduit, and/or placement of a permanent cardiac pacemaker. All patients survived second operations and no child required early or late mitral valve replacement. The two-patch repair is a reliable surgical technique resulting in low mortality and a low need for reoperation.
Authors:
S Bert Litwin; James S Tweddell; Michael E Mitchell; Katherine A Mussatto
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual     Volume:  -     ISSN:  1092-9126     ISO Abbreviation:  Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu     Publication Date:  2007  
Date Detail:
Created Date:  2007-04-16     Completed Date:  2007-09-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815944     Medline TA:  Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu     Country:  United States    
Other Details:
Languages:  eng     Pagination:  21-7     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, Herma Heart Center, Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI, USA. sblitwin@chw.org
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MeSH Terms
Descriptor/Qualifier:
Aortic Valve Stenosis / etiology,  surgery
Cardiac Surgical Procedures / instrumentation,  methods*
Cardiopulmonary Bypass
Child
Child, Preschool
Echocardiography
Endocardial Cushion Defects / complications,  epidemiology,  surgery*
Follow-Up Studies
Heart Septal Defects, Atrial / complications,  epidemiology,  surgery*
Heart Septal Defects, Ventricular / complications,  epidemiology,  surgery*
Humans
Hypothermia, Induced
Infant
Mitral Valve Insufficiency / etiology,  surgery
Mitral Valve Stenosis / etiology,  surgery
Pacemaker, Artificial
Postoperative Complications / etiology,  surgery
Pulmonary Valve Stenosis / etiology,  surgery
Reoperation
Severity of Illness Index
Survival Analysis
Treatment Outcome

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


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