Complete Atrioventricular Septal Defect Associated With Tetralogy of Fallot

Okada, Yoshihiro; Tatsuno, Katsuhiko; Kikuchi, Toshio; Takahashi, Yukihiro; Shimokawa, Tomoki

doi:10.1253/jcj.63.889

Cited by 14 publications

(7 citation statements)

References 20 publications

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“…Atrioventricular conduction disturbances varying from 1 st degree to complete AVB are described in patients with an AVSD [9,23,24]. Late complete AVB is reported in 0.5% of the patients by Lin et al [25], which is in line with our results.…”

Section: Conduction Disorders and Pacemaker Implantation After Avsd Csupporting

confidence: 92%

Incidence and risk factors of post-operative arrhythmias and sudden cardiac death after atrioventricular septal defect (AVSD) correction: Up to 47 years of follow-up

Kharbanda

Blom

Hazekamp

et al. 2018

International Journal of Cardiology

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There is good long-term survival after AVSD correction and incidence of SCD is low. Non-syndromic AVSD and cAVSD are independent risk factors for early post-operative SVTs. Non-syndromic AVSD patients have significant more early 3rd degree AVB and late post-operative SVTs. Non-syndromic patients with partial AVSD who have undergone reoperation have a significant higher risk of pacemaker implantation.

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Section: Conduction Disorders and Pacemaker Implantation After Avsd Csupporting

confidence: 92%

Incidence and risk factors of post-operative arrhythmias and sudden cardiac death after atrioventricular septal defect (AVSD) correction: Up to 47 years of follow-up

Kharbanda

Blom

Hazekamp

et al. 2018

International Journal of Cardiology

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“…The most common type of AVSD associated with TOF is type C Rastelli. [10][11][12] In addition, the conal septum has an anterior and superior displacement compared with the rest of the interventricular septum. Although the classic manifestation of this combined lesion is cyanosis (60% in our study), the untreated natural history more closely resembles right ventricular outflow tract obstruction than AVSD as such.…”

Section: Discussionmentioning

confidence: 99%

Outcome after repair of atrioventricular septal defect with tetralogy of Fallot

Shuhaiber¹,

Robinson²,

Breitbart

et al. 2012

The Journal of Thoracic and Cardiovascular Surgery

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“…It is particularly important in this group of patients to achieve satisfactory exposure of the ventricular septal defect and to ensure that the VSD patch is appropriately contoured thus avoiding residual RV outflow tract obstruction. In this group of patients the presence of both right and left AV valve regurgitation coupled with pulmonary regurgitation postoperatively, can lead to poor outcome in terms of risk of death and postoperative morbidity [61,62]. Contemporary awareness of these perioperative aspects has reduced the mortality rate of this rare combination of defects from 29-40% to 0-11% [63][64][65].…”

Section: Complete Avsd and Tetralogy Of Fallotmentioning

confidence: 99%

Current options and outcomes for the management of atrioventricular septal defect

Shuhaiber

Rigby

et al. 2009

European Journal of Cardio-Thoracic Surgery

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A wealth of experience has been gained in the management of atrioventricular septal defect (AVSD) since the first complete correction of this malformation in 1955. The success of surgical therapy followed an enhanced understanding of morphology and physiology as well as major improvements in imaging of this congenital heart defect. Therapeutic success in the management of patients with AVSD has been extended to include those with associated lesions such as tetralogy of Fallot, double outlet right ventricle and relative degrees of ventricular hypoplasia. Although operative mortality is low and long-term survival is relatively good, important detrimental residual or AVSD-related complications such as left atrioventricular valve regurgitation, left ventricular outflow tract obstruction still carry significant late morbidity in a proportion of patients. This article reviews our current understanding of the morphology of this defect, aspects of diagnosis and surgical treatment options.

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Complete Atrioventricular Septal Defect Associated With Tetralogy of Fallot

Cited by 14 publications

References 20 publications

Incidence and risk factors of post-operative arrhythmias and sudden cardiac death after atrioventricular septal defect (AVSD) correction: Up to 47 years of follow-up

Incidence and risk factors of post-operative arrhythmias and sudden cardiac death after atrioventricular septal defect (AVSD) correction: Up to 47 years of follow-up

Outcome after repair of atrioventricular septal defect with tetralogy of Fallot

Current options and outcomes for the management of atrioventricular septal defect

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