Abstract
Adults with congenital heart disease (ACHD) undergoing systemic atrioventricular valve (SAVV) surgery are a complex, understudied population. We assessed midterm outcomes and prognostic factors in ACHD undergoing SAVV surgery. We performed retrospective evaluation of ACHD undergoing SAVV surgery from January 2005 to February 2016: 14 (33%) patients with congenital mitral valve stenosis/regurgitation, 15 (35%) with atrioventricular septal defect (AVSD), and 14 (33%) with congenitally corrected transposition of the great arteries (ccTGA) with systemic tricuspid valve regurgitation. Adverse events were defined as mortality, reoperation on SAVV, and late more-than-moderate (> moderate) SAVV regurgitation. Statistical analysis was performed using Fisher's exact test and one-way analysis of variance as well as univariate and multivariate risk factor analysis. Fifteen (35%) patients had preoperative systemic ventricular dysfunction, including 13 patients with ccTGA (93%, P < .001). Twenty-three (54%) patients underwent valve repair, 20 (47%) patients underwent replacement, and 20 (47%) patients underwent an associated procedure. Replacement was higher in patients with ccTGA (86%) than the other groups ( P < 0.01). Thirty-seven patient...Continue Reading
References
Jan 1, 1990·The Annals of Thoracic Surgery·P A AbbruzzeseL Parenzan
Oct 1, 1982·The American Journal of Cardiology·B HwangE Krongrad
Jun 1, 1981·The Annals of Thoracic Surgery·W G WilliamsG A Trusler
Apr 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·J A van SonD M Ilstrup
Apr 1, 1994·The Annals of Thoracic Surgery·P HorvathJ Stark
Oct 23, 1997·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·V Alexi-MeskishviliP E Lange
Jul 11, 2002·Journal of the American College of Cardiology·Luc M BeauchesneGordon K Danielson
Jun 3, 2004·The Annals of Thoracic Surgery·Toshifumi MurashitaKeishu Yasuda
Feb 1, 2005·The Annals of Thoracic Surgery·A Derk Jan Ten HarkelAd J J C Bogers
Jun 25, 2008·The Annals of Thoracic Surgery·Sunil P MalhotraDavid N Campbell
Sep 2, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Rachid ZegdiJean-Noël Fabiani
Mar 5, 2009·The Journal of Thoracic and Cardiovascular Surgery·Ujjwal K ChowdhuryPanangipalli Venugopal
Mar 11, 2009·Circulation·Roderick W C ScherptongMark G Hazekamp
Oct 6, 2010·Journal of Cardiothoracic Surgery·Ad J J C BogersArie Pieter Kappetein
Apr 28, 2011·The Heart Surgery Forum·ShengLi JiangLin Zhang
May 14, 2011·Journal of the American College of Cardiology·François-Pierre MongeonCarole A Warnes
Dec 12, 2013·World Journal for Pediatric & Congenital Heart Surgery·Sachin TalwarBalram Airan
Jun 19, 2014·The Journal of Thoracic and Cardiovascular Surgery·Rick A NishimuraClyde W Yancy