Results of Definitive Repair of Complete Atrioventricular Septal Defect in Neonates and Infants

Suzuki, Takaaki; Bove, Edward L.; Devaney, Eric J.; Ishizaka, Toru; Goldberg, Caren S.; Hirsch, Jennifer C.; Ohye, Richard G.

doi:10.1016/j.athoracsur.2008.02.032

Cited by 72 publications

(87 citation statements)

References 12 publications

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“…On one hand, early surgical repair is more likely to decrease the incidence of pulmonary hypertensive crises as well as preserve the AV valve from degenerative changes or annu lar dilation. 21) On the other hand, we consider primary surgery a great psychological and physical advantage to children and their families. Palliation before repair will lead to secondary damage, and it also carries poten tial for multiple complications, including prolonged cyanosis, excessive ventricular hypertrophy, volume loading of the ventricle and progression of AV valve regurgitation.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors have argued about the use of the two techniques to reconstruct the AV valve in isolated CAVSD. 10,21,[22][23][24] The literature reveals no major differences in many aspects, including postoperative AV valve regurgitation, left ventricular outflow obstruction, residual AVSD, mortality and reoperation. There is no statistical evidence comparing the two techniques for CAVSD with TOF.…”

Section: Discussionmentioning

confidence: 99%

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Surgical Management of Complete Atrioventricular Septal Defect with Tetralogy of Fallot

Zhang

et al. 2014

ATCS

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IntroductionThe association of complete atrioventricular septal defect (CAVSD) with tetralogy of Fallot (TOF) was known as a kind of rare congenital cardiac anomaly, first described by Bull 1) in 1885. In 1969, D'Allaines 2) mentioned the surgical management of this heart malfor mation for the first time. During the few past decades, the occurrence of CAVSD with TOF remained relatively infrequent, presenting in 5%-10% children with CAVSD and in 1.7% of patients with TOF. 3,4) Nevertheless, mor tality for complete surgical repair has decreased tremen dously from 29%-40% in 1990 [3][4][5][6] to 0%-20% in recent years. [7][8][9][10][11][12][13][14][15] We retrospectively reviewed 17 patients with this combination of lesions in our hospital for determi ning the best treatment for CAVSD with TOF and to assess our surgical approach with regard to preoperative evaluation, time of complete correction, number of patches used to septate the heart and reconstruction of right ventricular outflow tract (RVOT). Materials and Methods

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Surgical Management of Complete Atrioventricular Septal Defect with Tetralogy of Fallot

Zhang

et al. 2014

ATCS

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“…It should be noted that mortality for repair of bAVSD was higher in this series than is commonly reported. [21][22][23] These data should be interpreted with caution, however, as we are reporting overall mortality for an inception cohort rather than operative mortality in a surgical series. In addition, this type of divergence in outcome data is commonly seen when registry data are com- pared with single center retrospective reports and most likely reflects the elimination of reporting bias.…”

Section: Surgical Strategy and Outcomes In Uavsdmentioning

confidence: 99%

Echocardiographic Definition and Surgical Decision-Making in Unbalanced Atrioventricular Septal Defect

et al. 2010

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Background-Although identification of unbalanced atrioventricular septal defect (AVSD) is obvious when extreme, exact criteria to define the limits of unbalanced are not available. We sought to validate an atrioventricular valve index (AVVI) (left atrioventricular valve area/total atrioventricular valve area, centimeters squared) as a discriminator of balanced and unbalanced forms of complete AVSD and to characterize the association of AVVI with surgical strategies and outcomes. Methods and Results-Diagnostic

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“…This classification has a good correlation with the postnatal prognostic and with the results of surgical repair [13].…”

Section: Anatomical Detailsmentioning

confidence: 99%

“…A large study on 29,460 fetuses reported a rate of prenatal detection of CHD of 57% and CAVSD of 71% [6]. These patients with CAVSD were detected as follwing: 19% during the early scan (11)(12)(13)(14), 48% during the mid-trimester scan (19)(20)(21)(22)(23)(24), and 5% during late pregnancy [6]. The percentage of diagnostic for isolated CAVSD was of 67% and was almost 100% only when CAVSDs were associated with complex cardiac malformations [6].…”

Section: Introductionmentioning

confidence: 99%

Complete atrioventricular septal defect in the era of prenatal diagnosis

et al. 2016

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Complete atrioventricular septal defect (CAVSD) is a fetal cardiac malformation (5% of all cardiac malformations) that can be detected prenatally with a reserved prognosis. The diagnosis can be suspected early at the end of the first trimester using the transabdominal or transvaginal ultrasound approach. Generally, the diagnostic can be established during the mid-trimester scan at 19-24 weeks of gestation. The percentage of antenatal diagnostic of CAVSD is between 57-92%. This review aims to analyze the anatomical principles and the ultrasound techniques that can improve the prenatal diagnosis of CAVSD. We have also analyzed the structural and genetic anomalies frequently associated with CAVSD.

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Results of Definitive Repair of Complete Atrioventricular Septal Defect in Neonates and Infants

Cited by 72 publications

References 12 publications

Surgical Management of Complete Atrioventricular Septal Defect with Tetralogy of Fallot

Surgical Management of Complete Atrioventricular Septal Defect with Tetralogy of Fallot

Echocardiographic Definition and Surgical Decision-Making in Unbalanced Atrioventricular Septal Defect

Complete atrioventricular septal defect in the era of prenatal diagnosis

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