3D assessment of the residual cleft of the left atrioventricular valve after atrioventricular septal defect repair

2021 ◽  
Vol 13 (4) ◽  
pp. 302
Author(s):  
C. Karsenty ◽  
A. Neily ◽  
A. Guitarte ◽  
B. Delepaul ◽  
A. Blanc ◽  
...  
Keyword(s):  
Septal Defect ◽  
Atrioventricular Septal Defect ◽  
Atrioventricular Valve ◽  
Defect Repair

scholarly journals Long-Term Follow-Up of Pericardium for the Ventricular Component in Atrioventricular Septal Defect Repair

2020 ◽  
Vol 11 (6) ◽  
pp. 742-747
Author(s):  
Rinske J. IJsselhof ◽  
Saniyé D. R. Duchateau ◽  
Rianne M. Schouten ◽  
Martijn G. Slieker ◽  
Mark G. Hazekamp ◽  
...  
Keyword(s):  
Septal Defect ◽  
Atrioventricular Septal Defect ◽  
Pericardial Patch ◽  
Atrioventricular Valve ◽  
Autologous Pericardium ◽  
Bovine Pericardial Patch ◽  
Significant Difference ◽  
Long Term Follow Up ◽  
Defect Repair

Background: Despite the improved outcome in complete atrioventricular septal defect (AVSD) repair, reoperations for left atrioventricular valve (LAVV) dysfunction are common. The aim of this study was to evaluate the effect of fresh untreated autologous pericardium for ventricular septal defect (VSD) closure on atrioventricular valve function and compare the results with the use of treated bovine pericardial patch material. Methods: Clinical and echocardiographic data were collected of patients with complete AVSD with their VSD closed with either untreated autologous pericardial or treated bovine pericardial patch material between January 1, 1996, and December 31, 2003. Evaluation closed in September 2019. Results: A total of 77 patients were analyzed (untreated autologous pericardial VSD patch: 59 [77%], treated bovine pericardial VSD patch: 18 [23%]). Median age at surgery was 3.6 (interquartile range [IQR]: 2.7-4.5) months, and median weight was 4.5 (IQR: 3.9-5.1) kg. Trisomy 21 was present in 70 (91%) patients. Median follow-up time was 17.5 (IQR: 12.6-19.8) years. Death <30 days occurred in two (3%) patients. Reinterventions occurred in eight patients (early [within 30 days] in two, early and late in one, and late in five), all in the autologous pericardium group. Log-rank tests showed no significant difference in mortality ( P = .892), LAVV reinterventions ( P = .228), or LAVV regurgitation ( P = .770). Conclusions: In AVSD, the VSD can safely be closed with either untreated autologous pericardium or xeno-pericardium. We found no difference in LAVV regurgitation or the need for reoperation between the two patches.

Reoperation for Left Atrioventricular Valve Regurgitation After Atrioventricular Septal Defect Repair

2008 ◽  
Vol 86 (1) ◽  
pp. 147-152 ◽  
Author(s):  
Sunil P. Malhotra ◽  
Francois Lacour-Gayet ◽  
Max B. Mitchell ◽  
David R. Clarke ◽  
Marshall L. Dines ◽  
...  
Keyword(s):  
Septal Defect ◽  
Atrioventricular Septal Defect ◽  
Atrioventricular Valve ◽  
Valve Regurgitation ◽  
Atrioventricular Valve Regurgitation ◽  
Defect Repair

Atrioventricular septal defect and the left atrioventricular valve at reoperation

1991 ◽  
Vol 1 (4) ◽  
pp. 374-378 ◽  
Author(s):  
Pietro A. Abbruzzese ◽  
Giancarlo Crupi ◽  
Roberto Tumbarello ◽  
Alessandra Napoleone ◽  
Maurizio Merlo ◽  
...  
Keyword(s):  
Septal Defect ◽  
Atrioventricular Septal Defect ◽  
Papillary Muscles ◽  
Atrioventricular Valve ◽  
Atrioventricular Valves ◽  
Defect Repair ◽  
Double Orifice

SummaryBetween 1968 and December 1990, 29 patients underwent 33 reoperations for dysfunction of the left atrioventricular valve after correction ofatrioventricular septal defect. Repair of the valve was possible in all 10 patients who, initially, had a common atrioventricular orifice, using straightforward procedures such as closure of the septal commissure and annuloplasties according to Wooler. Additional valvar abnormalities (double orifice; fenestration of leaflets; malpositioned or malformed papillary muscles; and additional clefts) were rare in this group of patients. In contrast, these anomalies were frequent in the 19 patients who, initially, had separate right and left atrioventricular valves.

EARLY OUTCOME AFTER AORTIC VALVE REPLACEMENT ON PATIENTS WITH REDUCED LEFT VENTRICULAR EJECTION FRACTION

2014 ◽  
pp. 31-36
Author(s):  
Quang Thuu Le
Keyword(s):  
Septal Defect ◽  
Intraoperative Complications ◽  
Systolic Pressure ◽  
Atrioventricular Septal Defect ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Mitral Insufficiency ◽  
Atrioventricular Valve ◽  
Ventricular Ejection Fraction ◽  
Mitral Incompetence

Background: To evaluate the early results of operation for partial atrioventricular septal defect. Methods: Twenty-sevent patients underwent surgical correction of partial atrioventricular septal defect from 1/2011 to 12/2013 at Cardiovascular Centre of Hue Central Hospital. There were 7 (25.9%) female patients and 20 (74.1%) male patients, 18.5% of patients aged < 1 age, 55.6% of patients aged ≥ 1 to 15 years, and 25.9% of patients aged ≥ 16 to 60 years. Sevent (25.9%) had congestive heart failure. There was a primum atrial septal defect in 100% of patients. A cleft of the anterior mitral leaflet was diagnosed in 100% of patients. 92.6% of patients had either moderate or severe mitral incompetence prior to operation. The pulmonary artery systolic pressure exceeded 40 mmHg in 85,.2% of patients. Results: Atrial septal defects were closed with a pericardial patch in 100% of patients. The cleft in its anterior leaflet was closed in 100% of patients. Postoperatively, moderate mitral insufficiency developed in 14.8% of patients. 85.2% of patients have mild mitral incompetence. One patients (3.7%) needed a permanent pacemaker. There was no intraoperative mortality. At 6-9 months postoperatively, left atrioventricular valve insufficiency was moderate in 2 (7.4%) patients and mild in 25 (92.6%) patients who had had cleft closure alone. Conclusions: Repair of partial atrioventricular septal defect is safe and good. It is important to close the cleft in the left atrioventricular valve. The mitral valve should be repaired in a conservative manner. Intraoperative complications occur but are uncommon, suggesting that short-term follow is excellent.

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