Creation and maintenance of an adequate interatrial communication in left atrioventricular valve atresia or stenosis

The American Journal of Cardiology
S B PerryJ E Lock

Abstract

Patients with left atrioventricular (AV) valve atresia or stenosis were studied retrospectively to determine the incidence of early and late failures of procedures to enlarge an interatrial communication. The 61 patients underwent 80 procedures: 5 balloon atrial septostomies, 12 blade atrial septostomies and 63 surgical septectomies. No balloon septostomy provided adequate long-term palliation. Of 12 blade septostomies, 4 resulted in gradients across the atrial septum of 5 to 8 mm Hg and 8 in gradients 3 mm Hg or less. Results from blade septostomy were unrelated to underlying diagnosis, age, gradient before the procedure, number of previous procedures, pulmonary blood flow or size of the postprocedure defect by balloon sizing, but were related to size of the postoperative defect estimated by echocardiography. Among 8 patients with gradients of 3 mm Hg or less after blade septostomy, 7 were followed 9 +/- 7 months and showed no evidence of restenosis. Of 63 surgical septectomies, 11 (17.5%) were inadequate, and in at least 7 cases the failure was due to restenosis of the defect as documented by serial catheterizations or echocardiograms. Outcome after surgical septectomy was unrelated to underlying diagnosis, age or number of p...Continue Reading

References

Oct 1, 1978·Circulation·S C ParkR A Zoltun
Mar 1, 1973·American Journal of Diseases of Children·W H NechesD G McNamara
Aug 1, 1982·Circulation·S C ParkJ R Zuberbuhler
Jan 1, 1980·Circulation·J J MickellJ R Zuberbuhler

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Citations

Jul 19, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Takahiro IshiwataKazuo Momma
Aug 1, 1991·Catheterization and Cardiovascular Diagnosis·M A Ali KhanT A Vargo
Dec 1, 1995·The Annals of Thoracic Surgery·J M SimpsonS A Qureshi
Jun 1, 1991·British Heart Journal·S A WebberM W Patterson
Aug 1, 1994·European Journal of Pediatrics·W A Radtke
May 11, 2005·Journal of Interventional Cardiology·Yaniv Bar-CohenJames E Lock
Jun 1, 1993·American Heart Journal·P S Rao
Mar 27, 2001·Clinics in Perinatology·J Kreutzer
Sep 9, 2015·Cardiology in the Young·Shyam K SathanandamBettina F Cuneo
Mar 27, 2001·Clinics in Perinatology·B S MarinoG Wernovsky
Jan 27, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Josep GironaGerard Martí
Nov 27, 2002·Critical Care Nursing Quarterly·Robert N Vincent, Helen J Diehl
Jul 13, 1999·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·C A PedraD Nykanen
Feb 7, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·R N VincentK R Kanter

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