Regurgitation of the Atrioventricular Valves after Corrective Surgery for Complete Atrioventricular Septal Defects - Comparison of Different Surgical Techniques
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 regurgitati...
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| Veröffentlicht in: | The Thoracic and cardiovascular surgeon 2007-06, Vol.55 (4), p.229-232 |
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| container_title | The Thoracic and cardiovascular surgeon |
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| creator | Krasemann, T. Debus, V. Rellensmann, G. Rukosujew, A. Scheld, H.-H. Vogt, J. Tjan, T. D. T. |
| description | 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. |
| doi_str_mv | 10.1055/s-2006-955953 |
| format | Article |
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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.</description><identifier>ISSN: 0171-6425</identifier><identifier>EISSN: 1439-1902</identifier><identifier>DOI: 10.1055/s-2006-955953</identifier><identifier>PMID: 17546552</identifier><language>eng</language><publisher>Germany</publisher><subject>Adolescent ; Adult ; Cardiac Output, Low ; Cardiac Surgical Procedures - methods ; Child ; Child, Preschool ; Down Syndrome - complications ; Female ; Heart Defects, Congenital ; Heart Septal Defects - surgery ; Humans ; Infant ; Male ; Mitral Valve Insufficiency - etiology ; Mitral Valve Insufficiency - surgery ; Original Cardiovascular ; Postoperative Complications - surgery ; Reoperation ; Retrospective Studies ; Tricuspid Valve Insufficiency - etiology ; Tricuspid Valve Insufficiency - surgery</subject><ispartof>The Thoracic and cardiovascular surgeon, 2007-06, Vol.55 (4), p.229-232</ispartof><rights>Georg Thieme Verlag KG Stuttgart · New York</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c328t-f2aa0b69c370eace181fa9abcc680be69bedfd58146b644b385fb00fba7501353</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2006-955953.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1055/s-2006-955953$$EHTML$$P50$$Gthieme$$H</linktohtml><link.rule.ids>315,781,785,3018,3019,27929,27930,54564,54565</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17546552$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krasemann, T.</creatorcontrib><creatorcontrib>Debus, V.</creatorcontrib><creatorcontrib>Rellensmann, G.</creatorcontrib><creatorcontrib>Rukosujew, A.</creatorcontrib><creatorcontrib>Scheld, H.-H.</creatorcontrib><creatorcontrib>Vogt, J.</creatorcontrib><creatorcontrib>Tjan, T. D. T.</creatorcontrib><title>Regurgitation of the Atrioventricular Valves after Corrective Surgery for Complete Atrioventricular Septal Defects - Comparison of Different Surgical Techniques</title><title>The Thoracic and cardiovascular surgeon</title><addtitle>Thorac cardiovasc Surg</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Cardiac Output, Low</subject><subject>Cardiac Surgical Procedures - methods</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Down Syndrome - complications</subject><subject>Female</subject><subject>Heart Defects, Congenital</subject><subject>Heart Septal Defects - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Mitral Valve Insufficiency - etiology</subject><subject>Mitral Valve Insufficiency - surgery</subject><subject>Original Cardiovascular</subject><subject>Postoperative Complications - surgery</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Tricuspid Valve Insufficiency - etiology</subject><subject>Tricuspid Valve Insufficiency - surgery</subject><issn>0171-6425</issn><issn>1439-1902</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtrGzEUhUVpSZzHstuiVVdVK82MNDNL4zRJwRDIaysk-cpWmBm5ksaQf5OfGtlj6KZZHbh85xwuB6GvjP5klPNfkRSUCtJy3vLyE5qxqmwJa2nxGc0oqxkRVcFP0VmML5SyqmnaE3TKal4JzosZeruH9RjWLqnk_IC9xWkDeJ6C8zsYspixUwE_q24HESubIOCFDwFMcjvAD9kL4RVbvz_32w7Sf9wPsE2qw1dgsy1ickBVcHFqvHLWQsj8Ic6ZjD6C2Qzu7wjxAn2xqotwedRz9HT9-3FxS5Z3N38W8yUxZdEkYgulqBatKWsKygBrmFWt0saIhmoQrYaVXfGGVUKLqtJlw62m1GpVc8pKXp6j71PuNvh9b5K9iwa6Tg3gxyhrykXBmzqDZAJN8DEGsHIbXK_Cq2RU7ieRUe4nkdMkmf92DB51D6t_9HGDDPyYgLRx0IN88WMY8qsf5L0D4wGZdw</recordid><startdate>20070601</startdate><enddate>20070601</enddate><creator>Krasemann, T.</creator><creator>Debus, V.</creator><creator>Rellensmann, G.</creator><creator>Rukosujew, A.</creator><creator>Scheld, H.-H.</creator><creator>Vogt, J.</creator><creator>Tjan, T. 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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.</abstract><cop>Germany</cop><pmid>17546552</pmid><doi>10.1055/s-2006-955953</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Adult Cardiac Output, Low Cardiac Surgical Procedures - methods Child Child, Preschool Down Syndrome - complications Female Heart Defects, Congenital Heart Septal Defects - surgery Humans Infant Male Mitral Valve Insufficiency - etiology Mitral Valve Insufficiency - surgery Original Cardiovascular Postoperative Complications - surgery Reoperation Retrospective Studies Tricuspid Valve Insufficiency - etiology Tricuspid Valve Insufficiency - surgery |
| title | Regurgitation of the Atrioventricular Valves after Corrective Surgery for Complete Atrioventricular Septal Defects - Comparison of Different Surgical Techniques |
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