Surgical repair of atrioventricular septal defect with common atrioventricular valve in early infancy

The repair of atrioventricular septal defect with a common atrioventricular valve is reconstructive surgery at its best, and hence one of the favourite operations performed by paediatric cardiac surgeons. In the past, the post-operative course from such patients was dominated by the occurrence of pu...

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Bibliographic Details
Published in:Cardiology in the young 2006-09, Vol.16 (S3), p.52-58
Main Authors: Lacour-Gayet, François, Campbell, David N., Mitchell, Max, Malhotra, Sunil, Anderson, Robert H.
Format: Article
Language:English
Subjects:
Atrioventricular canal
atrioventricular valves
Cardiac arrhythmia
Cardiac Surgical Procedures - methods
conduction tissues
Electrocardiography
Follow-Up Studies
Heart
Heart Septal Defects - diagnostic imaging
Heart Septal Defects - mortality
Heart Septal Defects - surgery
Humans
Infant
Mitral Valve - abnormalities
Mitral Valve - diagnostic imaging
Mitral Valve - surgery
Mortality
Rastelli classification
Retrospective Studies
Survival Rate
The Atrioventricular Valves
Treatment Outcome
Ultrasonography
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Summary:The repair of atrioventricular septal defect with a common atrioventricular valve is reconstructive surgery at its best, and hence one of the favourite operations performed by paediatric cardiac surgeons. In the past, the post-operative course from such patients was dominated by the occurrence of pulmonary hypertension crises, which were responsible for significant morbidity and mortality. Nowadays, repair is generally undertaken early in infancy, and this approach has mitigated the problems emanating from pulmonary hypertension. Coupled with a better understanding of the anatomy, and adaptation of the surgical techniques, repair can now be achieved safely at around 2 to 4 months of life, without increasing the risk of postoperative regurgitation across the reconstructed left atrioventricular valve. In this review, we discuss the surgical techniques required for, and clinical results of, such early repair.
ISSN:1047-9511
1467-1107
DOI:10.1017/S104795110600076X