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

2006 ◽  
Vol 16 (S3) ◽  
pp. 52-58 ◽  
Author(s):  
François Lacour-Gayet ◽  
David N. Campbell ◽  
Max Mitchell ◽  
Sunil Malhotra ◽  
Robert H. Anderson
Keyword(s):  
Pulmonary Hypertension ◽  
Septal Defect ◽  
Surgical Repair ◽  
Surgical Techniques ◽  
Clinical Results ◽  
Atrioventricular Septal Defect ◽  
Atrioventricular Valve ◽  
The Past ◽  
Cardiac Surgeons ◽  
Common Atrioventricular Valve

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.

Congenitally corrected transposition with atrioventricular septal defect

1998 ◽  
Vol 8 (4) ◽  
pp. 472-478 ◽  
Author(s):  
Fause Attie ◽  
Pedro Iturralde ◽  
Carlos Zabal ◽  
Maria Rijlaarsdam ◽  
Alfonso Buendia ◽  
...  
Keyword(s):  
Septal Defect ◽  
Atrioventricular Septal Defect ◽  
Atrioventricular Conduction ◽  
Atrioventricular Valve ◽  
His Bundle ◽  
Electrophysiological Studies ◽  
Congenitally Corrected Transposition ◽  
Atrial Stimulation ◽  
Common Atrioventricular Valve ◽  
Corrected Transposition

AbstractWe describe 4 cases of congenitally corrected transposition associated with atrioventricular septal defect, diagnosed by echocardiography and angiocardiography. Two had usual atrial arrangement and two had mirror imaged atrial arrangement. All cases were associated with subpulmonary valvar stenosis. All patients presented with cyanosis and were in sinus rhythm. Atrioventricular septal defect with common atrioventricular junction was easily diagnosed on the basis of a common atrioventricular valve permitting interatrial and interventricular communications. All patients had balanced right and left ventricles. The echocardiographic recognition of the ventricles was based on the presence of the moderator band within the morphologically right ventricle, the characteristics of the apical septal trabeculations, and the shape of the ventricles. Angiocardiographic recognition of the ventricles was achieved on the basis of right and left ven-triculography.In one case with usual atrial arrangement, we recorded two His bundle potentials, one anteriorly and another posteriorly. Atrial stimulation revealed blocked atrioventricular conduction at the level of the pos terior bundle, and normal atrioventricular conduction through the anterior bundle. In both cases with atrial mirror-imagery, only a posterior His bundle potential was found, with normal atrioventricular conduction revealed by atrial stimulationThe clinical course with this combination depends on the other lesions present in addition to the common atrioventricular valve. Our electrophysiological studies show that the conduction system in presence of a common atrioventricular valve is as expected for congenitally corrected transposition with two atrioventric ular valves.

scholarly journals Results of surgical repair of atrioventricular septal defect with double-orifice left atrioventricular valve

2009 ◽  
Vol 138 (5) ◽  
pp. 1167-1171 ◽  
Author(s):  
Gerard J.F. Hoohenkerk ◽  
Arnold C.G. Wenink ◽  
Paul H. Schoof ◽  
Dave R. Koolbergen ◽  
Eline F. Bruggemans ◽  
...  
Keyword(s):  
Septal Defect ◽  
Surgical Repair ◽  
Atrioventricular Septal Defect ◽  
Atrioventricular Valve ◽  
Double Orifice

scholarly journals Long term left atrioventricular valve function following surgical repair of atrioventricular septal defect

1991 ◽  
Vol 17 (2) ◽  
pp. A154
Author(s):  
Ling Han ◽  
Sang C. Park ◽  
Jose A. Ettedgui ◽  
Elfriede Pahl ◽  
Lee B. Beerman ◽  
...  
Keyword(s):  
Septal Defect ◽  
Surgical Repair ◽  
Atrioventricular Septal Defect ◽  
Atrioventricular Valve ◽  
Valve Function

Long-term left atrioventricular valvar function following surgical repair of atrioventricular septal defect

1995 ◽  
Vol 5 (3) ◽  
pp. 230-237 ◽  
Author(s):  
Ling Han ◽  
Soon Ung Kang ◽  
Sang C. Park ◽  
Jose A. Ettedgui ◽  
William H. Neches
Keyword(s):  
Septal Defect ◽  
Surgical Repair ◽  
Atrioventricular Septal Defect ◽  
Early Postoperative Period ◽  
Atrioventricular Valve ◽  
Complete Form ◽  
Partial Form ◽  
Pulmonary Arterial

AbstractLong-term left atrioventricular valvar function was evaluated in 95 of 110 survivors following surgical repair of atrioventricular septal defect between 1975 and 1984. A common or complete form was present in 40 and a partitioned or partial form in 55 patients. The patients have been followed for three to 13 years with a mean of 8.3 years. Pulmonary arterial banding was performed in 17 patients with a common atrioventricular valve prior to complete repair. The left atrioventricular valvar regurgitation was evaluated by clinical examination, Doppler and/or angiography. Three patients required valvar replacement postoperatively. Previous pulmonary arterial banding, pulmonary hypertension or pulmonary-to-systemic flow ratio did not affect the incidence or severity of left atrioventricular valvar regurgitation postoperatively. In this series left atrioventricular valvar regurgitation increased in the early postoperative period but rarely progressed at late follow-up.

Importance of transcatheter closure test for giant ventricular septal defect associated with pulmonary hypertension: a case with successful surgical repair of the defect

2018 ◽  
Vol 28 (8) ◽  
pp. 1053-1055
Author(s):  
Xiaoke Shang ◽  
Rong Lu ◽  
Nianguo Dong
Keyword(s):  
Pulmonary Hypertension ◽  
Ventricular Septal Defect ◽  
Alternative Assessment ◽  
Clinical Evidence ◽  
Septal Defect ◽  
Surgical Repair ◽  
Transcatheter Closure ◽  
Definitive Treatment ◽  
Perimembranous Ventricular Septal Defect ◽  
Cardiac Surgeons

AbstractThis is the first attempt to use a temporary occluder to close a giant perimembranous ventricular septal defect (32 mm), which obtains clinical evidence of good haemodynamics in patients with severe pulmonary hypertension. This may provide an alternative assessment to guide cardiac surgeons in determining a definitive treatment.

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