Repair of complete atrioventricular septal defects in patients weighing less than 5 kg

Does Down syndrome affect the long-term results of complete atrioventricular septal defect when the defect is repaired during the first year of life?

“…In their review, less favorable results in patients with Down syndrome were reported by Studer et al [5], Pozzi et al [6], and Morris et al [7], while Rizzoli et al [8] reported that Down syndrome was not an independent risk factor for operative mortality, and that patients with Down syndrome underwent fewer re-operations. Although Reller and Morris [10] reported higher perioperative mortality in complete AVSD with Down syndrome compared with that of without Down syndrome in 1998, many recent papers using multivariate analysis failed to indicate a presence of Down syndrome as a predictor for operative death [11,13,17,[20][21][22]24]. Tweddel et al [13] concluded that routine repair of complete AVSD during infancy in recent era resulted better clinical outcomes.…”

“…Recently, remarkable development of patients management including diagnosis, surgical techniques and postoperative cares have improved clinical results of correction of complete AVSD [13,[19][20][21][22][23][24], and many surgeons including us recommended early surgical correction of complete AVSD to prevent irreversible progression of obstructive pulmonary vascular disease [12][13][14][15][16][17].…”

“…Recently, many surgeons including us recommended early surgical correction of complete AVSD with satisfactory operative results [12][13][14][15][16][17]. In this study, we evaluated the impact of association of Down syndrome with complete AVSD on early and late results of surgical correction when complete AVSD was repaired during the first year of life.…”

Repair of complete atrioventricular septal defect with tetralogy of Fallot

“…In our experience we employed the classic onepatch technique and two patch technique as described previously (17). In some cases we employed the modified one-patch technique (Figure 1) as described previously (18).…”

Complete atrioventricular septal defect: long-term results and reoperations

“…Bazı çalış-malarda vücut ağırlığı 5 kg'ın altında olan hastaların tekrar ameliyat gereksiniminin ve yoğun bakım kalış süresinin daha fazla olduğu bildirilmiştir. [2,11,18] Buna karşın Al-Hay ve ark. [4] hasta ağırlığı ile tekrar ameliyat gereksinimi arasında ilişki bildirmemişlerdir.…”