Atrioventricular Valve Repair in Patients with Univentricular Circulation

2021 ◽  
Author(s):  
Elizabeth H. Stephens ◽  
Joseph A. Dearani
Keyword(s):  
Atrioventricular Valve ◽  
Valve Repair

Left atrioventricular valve repair technique in partial atrioventricular septal defects

1999 ◽  
Vol 68 (5) ◽  
pp. 1746-1750 ◽  
Author(s):  
Erkan Kuralay ◽  
Ertugrul Özal ◽  
Ufuk Demirkılıç ◽  
Faruk Cingöz ◽  
Harun Tatar
Keyword(s):  
Atrioventricular Valve ◽  
Valve Repair ◽  
Atrioventricular Septal Defects ◽  
Repair Technique ◽  
Septal Defects

Atrioventricular valve repair along with Fontan completion

2014 ◽  
Vol 25 (7) ◽  
pp. 1421-1424 ◽  
Author(s):  
Juan M. Gil-Jaurena ◽  
María T. González-López ◽  
Ramón Pérez-Caballero ◽  
Ana Pita
Keyword(s):  
Surgical Techniques ◽  
Underlying Disease ◽  
Atrioventricular Valve ◽  
Valve Repair ◽  
Concomitant Procedure ◽  
Atrioventricular Valve Regurgitation ◽  
Heart Repair ◽  
Complex Patients ◽  
Life Prognosis ◽  
Prosthetic Ring

AbstractAtrioventricular valve regurgitation is widely known as a risk factor for Fontan completion in patients with univentricular physiology. To date, indications and timing for atrioventricular valve repair remain unclear and different surgical techniques have been advocated. Since 2013, 50 consecutive patients underwent extracardiac Fontan completion in our institution. Atrioventricular valve repair, by avoiding the use of a prosthetic ring, was performed as a concomitant procedure in three of them, with excellent short-term results. Beating-heart repair was performed in one of the patients with hypoplastic left heart syndrome as the underlying disease. Valve repair when moderate or severe regurgitation is present may be performed at a low risk. Both the staged approach of atrioventricular valve repair followed by the Fontan as a separate operation and the combined approach of simultaneous atrioventricular valve repair and Fontan have a role in the management of these complex patients. We highlight the importance of the use of “easy and simple” surgical techniques for repairing the atrioventricular valve in order to provide a better life prognosis in Fontan patients.

scholarly journals Atrioventricular valve repair using externally adjustable flexible rings

1995 ◽  
Vol 110 (5) ◽  
pp. 1333-1337
Author(s):  
J.Q. Melo ◽  
M. Abecasis ◽  
J. Neves ◽  
L. Bruges ◽  
M. Ferreira ◽  
...  
Keyword(s):  
Atrioventricular Valve ◽  
Valve Repair

scholarly journals Atrioventricular Valve Repair for Patient With Heterotaxy Syndrome and a Functional Single Ventricle

2012 ◽  
Vol 15 (1) ◽  
pp. 88-95 ◽  
Author(s):  
Shunji Sano ◽  
Yasuhiro Fujii ◽  
Sadahiko Arai ◽  
Shingo Kasahara ◽  
Atsushi Tateishi
Keyword(s):  
Single Ventricle ◽  
Atrioventricular Valve ◽  
Valve Repair ◽  
Heterotaxy Syndrome

Improving results of atrioventricular valve repair in challenging patients with heterotaxy syndrome

2010 ◽  
Vol 20 (1) ◽  
pp. 60-65 ◽  
Author(s):  
Noritaka Ota ◽  
Yoshifumi Fujimoto ◽  
Keiichi Hirose ◽  
Yuko Tosaka ◽  
Tomohiro Nakata ◽  
...  
Keyword(s):  
Patient Population ◽  
Successful Outcome ◽  
Atrioventricular Valve ◽  
Valve Repair ◽  
Heterotaxy Syndrome ◽  
Excellent Outcome ◽  
Poor Outcome ◽  
Left Isomerism ◽  
Right Isomerism

AbstractObjectivesHeterotaxy syndrome, which is often associated with atrioventricular valvar regurgitation, has been considered a risk factor for the surgical repair for Fontan candidates. The results of atrioventricular valve repair in this challenging patient population remain largely unknown.MethodsFrom July, 1994 to January, 2007, 25 patients with the heterotaxy syndrome consisting of 22 right isomerism and three left isomerism presented to the Shizuoka Children’s Hospital Japan with significant (3–4+) atrioventricular valvar regurgitation necessitating atrioventricular valve repair. The clinical and Doppler/echocardiographic data were retrospectively reviewed to determine the efficacy of the repair and patient outcome.ResultsPatients were divided into two groups on the basis of atrioventricular valvar regurgitation at the most recent follow-up: those with a successful late outcome, (0–2) and those with a poor outcome (3–4). There were 17 (67%) patients with a successful outcome and 8 (33%) with a poor outcome. The repair technique including leaflet apposition was predictive of a successful outcome (p = 0.003). Overall survival was 64% (16/25). Survival was 88.2% (15/17) for patients with a successful result versus 12.5% (1/8) for those with a poor outcome (p = 0.0007). Of the 15 survivors, 13 have reached final completion of the Fontan circulation, and two currently remain at the bi-directional Glenn shunt stage.ConclusionAtrioventricular valve repair can be accomplished in this challenging patient population with excellent results. The combination of the leaflet apposition technique and the Kay suture can be performed with an excellent outcome in the majority of patients with heterotaxy syndrome, even with significant atrioventricular valvar regurgitation.

Effect of Atrioventricular Valve Repair on Multistage Palliation Results of Single-Ventricle Defects

2020 ◽  
Author(s):  
Raina Sinha ◽  
Husnu Firat Altin ◽  
Courtney McCracken ◽  
Andrew Well ◽  
Joshua Rosenblum ◽  
...  
Keyword(s):  
Single Ventricle ◽  
Atrioventricular Valve ◽  
Valve Repair
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