Repair of Partial Atrioventricular Septal Defect: Age and Outcomes

Devlin, Paul J.; Backer, Carl L.; Eltayeb, Osama; Mongé, Michael C.; Hauck, Amanda; Costello, John M.

doi:10.1016/j.athoracsur.2016.01.085

Cited by 26 publications

(22 citation statements)

References 16 publications

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“…Most recently, Devlin et al 8 reported a series of 86 children who underwent pAVSD repair between 1990 and 2014 at a median age of 1.5 years. They reported no early deaths and identified no difference in rates of reoperation when comparing children by quartiles of age.…”

Section: Discussionmentioning

confidence: 99%

Propensity score matched analysis of partial atrioventricular septal defect repair in infancy

Buratto

Daley

et al. 2017

Heart

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Section: Discussionmentioning

confidence: 99%

Propensity score matched analysis of partial atrioventricular septal defect repair in infancy

Buratto

Daley

et al. 2017

Heart

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“…Atrioventricular septal defect and transposition of the great arteries are both relatively common congenital cardiac malformations, with established techniques for achieving anatomical repair with good outcomes. [1][2][3][4][5][6][7] The association of the two conditions is very uncommon. In a large series of 507 cadaveric hearts with atrioventricular septal defect, only 3.4% (17/507) had transposition of the great arteries.…”

Section: Discussionmentioning

confidence: 99%

Single-ventricle palliation in children with atrioventricular septal defect and transposition of the great arteries: 45 years of experience

Buratto

Fricke

et al. 2020

Cardiol Young

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Background: The association of atrioventricular septal defect and transposition of the great arteries is very rare. As a rule, these patients have unbalanced ventricles. However, there have been no studies describing the results of single-ventricle palliation in these children. Methods: All children who underwent surgery with a diagnosis of atrioventricular septal defect and transposition of the great arteries were included in the study. Data were obtained from medical records. Results: A total of 38 patients with atrioventricular septal defect and transposition of the great arteries underwent single-ventricle palliation at the study institution between 1971 and 2016. The mean follow-up was 12.4 years (median: 14.6 years, range 2–43.3 years). Most children had unbalanced atrioventricular septal defect (94.7%, 36/38). Survival was 67.6% (95% confidence interval [CI]: 50.0–80.2%) at 10 years and 57.8% (95% CI: 38.0–73.4%) at 20 years. By 10 years, 58.6% (95% CI: 40.8–72.7%) had progressed to Fontan completion, while 32.5% (95% CI: 18.2–47.6%) had died. In patients achieving Fontan completion, 20-year event-free survival was 73.3% (95% CI: 34.8–91.3%), while 5.0% (95% CI: 0.4–20.5%) had undergone cardiac transplantation and 21.7% (95% CI: 3.2–50.8%) had undergone takedown of the Fontan circulation. Freedom from atrioventricular valve surgery was 57.0% (95% CI: 37.2–72.7%) at 10 and 20 years. Conclusions: The association of atrioventricular septal defect and transposition of the great arteries is very rare, and most of these children have unbalanced ventricles. Single-ventricle palliation results in 25-year overall survival of 50%. However, in patients, who had Fontan completion, survival was 75% at 25 years after Fontan operation.

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“…Kimi yazarlar artmış operasyon yaşının reoperasyon gereksinimini arttıracağı görüşünde olsa da Devlin ve ark. (19) 86 hastalık serilerinde hastaları operasyon yaşlarına göre alt gruplara ayırmış ve 7 yıllık takiplerinde herhangi bir fark saptamamışlardır. Reoperasyon gereksinimi 5 yıldan sonra izlenmemiştir.…”

Section: Discussionunclassified

A Retrospective Analysis of Mid-Term Paitent Follow-ups After Partial Atrioventricular Septal Defect Repair: A Unicenter Experience

Bilen¹,

Akkaya²,

Tuncer³

et al. 2019

BUCH

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Parsiyel atrioventriküler septal defekt ostium primum atrial septal defekt olarak da bilinmektedir. Operasyon sonrası sol atrioventriküler kapak yetmezliği, pacemaker gereksinimi olan komplet atrioventriküler nod blokları ve sol ventrikül çıkım yolu darlığı gibi sorunlarla karşılaşılabilinmektedir. Biz de bu çalışmamızda, parsiyel atrioventriküler septal defekt düzeltme operasyonlarının sonuçlarını, komorbidetelerini ve taburculuk sonrası orta dönem verileri bildirmeyi amaçladık. Yöntem: Çalışmaya 2005-2017 yılları arasında kliniğimizde parsiyel atrioventriküler septal defekt nedeni ile tam düzeltme operasyonu uygulanan kırk bir hasta dahil edildi. Hastaların hastane kayıtları retrospektif olarak tarandı. Hastaların operasyon öncesi, taburculuk sonrası birinci, üçüncü, altıncı ve on ikinci aylarda kontrol transtorasik ekokardiografi ve sonrasında yıllık takipleri ile uzun dönem yeniden cerrahi müdahale gerekliliği açısından izlendi. Bulgular: Hastane kalış süresi boyunca ve takip sırasında bir hasta konjestif kalp yetmezliğinden kaybedildi. Bir hastaya total atrioventriküler nod bloğu nedeni ile kalıcı pace maker takıldı. Taburcu edildikten sonra sol atriyoventriküler kapak yetmezliğinde önemli derecede düzelme gözlendi. Sonuç: Parsiyel atrioventriküler septal defekt tanılı hastalarda cerrahi sırasında ileti yollarına dikkat edilmesi ve yeterli valvüler onarım yapılması uzun dönemde reoperasyon gereksinimini önemli ölçüde azaltmaktadır.

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Repair of Partial Atrioventricular Septal Defect: Age and Outcomes

Cited by 26 publications

References 16 publications

Propensity score matched analysis of partial atrioventricular septal defect repair in infancy

Propensity score matched analysis of partial atrioventricular septal defect repair in infancy

Single-ventricle palliation in children with atrioventricular septal defect and transposition of the great arteries: 45 years of experience

A Retrospective Analysis of Mid-Term Paitent Follow-ups After Partial Atrioventricular Septal Defect Repair: A Unicenter Experience

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