Thorac Cardiovasc Surg 2007; 55(4): 229-232
DOI: 10.1055/s-2006-955953
Original Cardiovascular

© Georg Thieme Verlag KG Stuttgart · New York

Regurgitation of the Atrioventricular Valves after Corrective Surgery for Complete Atrioventricular Septal Defects - Comparison of Different Surgical Techniques

T. Krasemann1 , 2 , V. Debus1 , G. Rellensmann1 , A. Rukosujew3 , H.-H. Scheld3 , J. Vogt1 , T. D. T. Tjan3
  • 1Department of Paediatric Cardiology, University Children's Hospital Muenster, Muenster, Germany
  • 2Department of Paediatric Cardiology, Evelina Children's Hospital, St Thomas Hospital, London, Great Britain
  • 3Department of Thoracic and Cardiovascular Surgery, University Hospital Muenster, Muenster, Germany
Further Information

Publication History

received January 8, 2006

Publication Date:
04 June 2007 (online)

Abstract

Objective: Different surgical approaches have been used to repair complete atrioventricular septal defects (AVSD). Regurgitant atrioventricular valves (AV-valves) are common after surgery. We compared different surgical techniques with respect to long-term postoperative AV-valve regurgitation. Methods: In 69 patients with complete AVSD, three different surgical techniques were applied: Single-patch, two-patch, and modified techniques. The left-sided AV-valve cleft was surgically closed in all patients. Results: A comparison of the results of the different techniques showed no difference in the degree of AV-valve regurgitation on either the right or the left side. The average degree was mild on both sides. Only one patient needed reoperation for severe left-sided AV-valve regurgitation. Conclusion: The different surgical techniques used for the correction of AVSD do not have a major bearing on the degree of AV-valve regurgitation.

References

  • 1 Bogers A J, Akkersdijk G P, de Jong P L, Henrich A H, Takkenberg J J, van Domburg R T, Witsenburg M. Results of primary two-patch repair of complete atrioventricular septal defect.  Eur J Cardiothorac Surg. 2000;  18 473-479
  • 2 Stellin G, Vida V L, Milanesi O, Rubino M, Padalino M A, Bonato R, Casarotto D. Surgical treatment of complete A-V canal defects in children before 3 months of age.  Eur J Cardiothorac Surg. 2003;  23 187-193
  • 3 Al-Hay A A, MacNeill S J, Yacoub M, Shore D F, Shinebourne E A. Complete atrioventricular septal defect, Down syndrome, and surgical outcome: risk factors.  Ann Thorac Surg. 2003;  75 412-421
  • 4 Vet T W, Ottenkamp J. Correction of atrioventricular septal defect. Results influenced by Down syndrome?.  Am J Dis Child. 1989;  143 1361-1365
  • 5 Boening A, Scheewe J, Heine K, Hedderich J, Regensburger D, Kramer H H, Cremer J. Long-term results after surgical correction of atrioventricular septal defects.  Eur J Cardiothorac Surg. 2002;  22 167-173
  • 6 Rhodes J, Warner K G, Fulton D R, Romero B A, Schmid C H, Marx G R. Fate of mitral regurgitation following repair of atrioventricular septal defect.  Am J Cardiol. 1997;  80 1194-1197
  • 7 Miyatake K, Izumi S, Okamoto M, Kinoshita N, Asonuma H, Nakagawa H, Yamamoto K, Takamiya M, Sakakibara H, Nimura Y. Semiquantitative grading of severity of mitral regurgitation by real-time two-dimensional Doppler flow imaging technique.  J Am Coll Cardiol. 1986;  7 82-88
  • 8 Moran A M, Daebritz S, Keane J F, Mayer J E. Surgical management of mitral regurgitation after repair of endocardial cushion defects: early and midterm results.  Circulation. 2000;  102 (Suppl 3) III160-III165
  • 9 Kameyama T, Ando F, Okamoto F, Haneda M, Sasahashi N, Nishigaki Y, Hisose K, Kanbara A, Matsuno S, Makino S, Sakazaki H, Suzuki T. Long-term follow-up of atrioventricular valve function after repair of atrioventricular septal defect.  Ann Thorac Cardiovasc Surg. 1999;  5 101-106

Dr. Thomas Krasemann

Department of Paediatric Cardiology
Evelina Children's Hospital
Guy's & St Thomas Hospital

Lambeth Palace Road

London SE1 7EH

Great Britain

Email: Thomas.Krasemann@gstt.nhs.uk

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