PMID: 9527207Apr 4, 1998Paper

Long-term results after repair of complete atrioventricular septal defects: analysis of risk factors

The Annals of Thoracic Surgery
T GüntherH Meisner

Abstract

We analyzed data from 320 patients to evaluate the impact of different preoperative, operative, and postoperative factors on the outcome after repair of complete atrioventricular septal defect. Between October 1974 and December 1995, 320 patients with complete atrioventricular septal defect not associated with major cardiac anomalies were operated on. Two hundred seventy-four patients underwent total repair. Sixty-three patients (23%) were less than 6 months old. One hundred ninety-eight (72.2%) underwent primary repair. Seventy-six patients (27.7%) had a previous palliative operation. Operative mortality in patients who underwent primary repair decreased from 17.6% (1974 to 1979) to 5.0% (1990 to 1995) despite an increase in the number of patients younger than 6 months. In patients undergoing a two-stage procedure operative mortality was 3.9% (late mortality, 7.9%). Young age (<6 months) was an incremental risk factor (p = 0.008) for operative mortality in the early study period. Coarctation of the aorta (p = 0.02) and severe dysplastic left atrioventricular valve (p = 0.001) were associated with a higher risk for operative mortality. Freedom from reoperation at 10 years was 82.5% +/- 3.8%. In patients with complete atrioventr...Continue Reading

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Citations

Jul 27, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·A BoeningJ Cremer
Mar 25, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·J WetterA E Urban
May 26, 2006·Orphanet Journal of Rare Diseases·Raffaele Calabrò, Giuseppe Limongelli
Apr 25, 2012·Annals of Pediatric Cardiology·Maziar Gholampour DehakiGholamreza Omra
Jun 19, 2003·The Journal of Cardiovascular Surgery·E Tireli, M Basaran
Feb 19, 2013·The Annals of Thoracic Surgery·Jeffery ShuhaiberJohn M Costello
Oct 26, 2010·The Annals of Thoracic Surgery·Gerard J F HoohenkerkMark G Hazekamp
Jan 28, 2010·The Annals of Thoracic Surgery·Noriyoshi KajiharaSeiyo Yasui
Aug 8, 2009·The Journal of Thoracic and Cardiovascular Surgery·Gerard J F HoohenkerkMark G Hazekamp
Jun 19, 2008·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Tara BharuchaJoseph J Vettukattil
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Mar 27, 2010·The Annals of Thoracic Surgery·Farhad BakhtiaryMartin Kostelka
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Mar 28, 2006·The Annals of Thoracic Surgery·Yong-Qiang LaiZhao-Guang Zhang
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Dec 6, 2019·Annals of Saudi Medicine·Mohannad Ali DawaryFareed Ahmed Khouqeer
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May 19, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Laura S FongUNKNOWN Australian CAVSD study group

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