PMID: 8604946Dec 1, 1995Paper

Left atrioventricular valve incompetence after repair of common atrioventricular canal defects

The Annals of Thoracic Surgery
G MichielonD Casarotto

Abstract

Reoperation rate for residual atrioventricular (AV) valve regurgitation after repair of common atrioventricular canal defect (AVCD) is currently between 5% and 10%. This retrospective analysis evaluates the impact of AV valve anatomy, age at repair, and surgical technique on postoperative AV valve incompetence. Between January 1982 and July 1994, 205 patients with common AVCD underwent surgical repair at our institution. A complete form with common atrioventricular orifice (CCAVCD) was present in 81 patients. One hundred twenty-four had separate AV valves and orifices; 22 of these had a restrictive ventricular septal defect component. Preoperative moderate to severe AV valve regurgitation (AVVR) was present in 74 (36%), with a lower incidence in the CCAVCD group (20/81, 25%) versus the transitional (8/22, 36%) or the partial forms (46/102, 45%) (p = 0.02). The incidence was 12.5% (3/24) for CCAVCD patients less than 4 months of age (p = 0.02). Repair of the left AV valve was performed according to the trifoliate approach in most cases (142/205, 70%). Follow-up was 98% complete. By Kaplan-Meier analysis, survival at 12.3 years was 97.8% +/- 1% in partial AVCD, 95.4% +/- 4% in transitional AVCD, and 73.2% +/- 5% in CCAVCD (median...Continue Reading

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Citations

Feb 16, 2002·The Annals of Thoracic Surgery·Edvin PriftiBruno Murzi
Dec 10, 1999·The Annals of Thoracic Surgery·E KuralayH Tatar
Jul 27, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·A BoeningJ Cremer
Oct 23, 1997·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·V Alexi-MeskishviliP E Lange
Mar 25, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·J WetterA E Urban
Jul 28, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Margaux PontaillerEmre Belli
Apr 19, 2015·The Annals of Thoracic Surgery·Elizabeth H StephensEmile A Bacha
Jun 25, 2008·The Annals of Thoracic Surgery·Sunil P MalhotraDavid N Campbell
Apr 17, 2007·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Peter B Manning
Sep 11, 2013·Journal of Cardiac Surgery·Hui JiangRenFu Zhang
Jul 30, 2010·The Annals of Thoracic Surgery·Makoto Ando, Yukihiro Takahashi
Mar 28, 2006·The Annals of Thoracic Surgery·Yong-Qiang LaiZhao-Guang Zhang
Oct 26, 2006·The Annals of Thoracic Surgery·R Ramesh SinghIrving L Kron
Nov 14, 1997·The American Journal of Cardiology·J RhodesG R Marx
Mar 3, 2004·The Annals of Thoracic Surgery·Randall S FortunaGlen S Van Arsdell
Jan 28, 2010·The Annals of Thoracic Surgery·L LuAnn MinichUNKNOWN Pediatric Heart Network Investigators
Jun 23, 2009·Journal of Cardiac Surgery·Bahaaldin AlsoufiAhmed Sallehuddin
May 6, 2015·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Timothy Colen, Jeffrey F Smallhorn
Nov 26, 2008·The Journal of Thoracic and Cardiovascular Surgery·Muralidhar PadalaAjit P Yoganathan
Jul 28, 2004·The Annals of Thoracic Surgery·Roberto FormigariBruno Marino
Apr 1, 2010·World Journal for Pediatric & Congenital Heart Surgery·John M StulakJoseph A Dearani
Feb 10, 2018·Interactive Cardiovascular and Thoracic Surgery·Thierry BovéKatrien François
Mar 22, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Margaux PontaillerOlivier Raisky
Feb 9, 2002·The Journal of Small Animal Practice·G SantamarinaM L Suarez

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