Repair of atrioventricular septal defect associated with tetralogy of Fallot or double-outlet right ventricle: 30 years of experience

The Annals of Thoracic Surgery
Jeremy OngIgor E Konstantinov

Abstract

The surgical outcomes of atrioventricular septal defect (AVSD) associated with tetralogy of Fallot (TOF) or double-outlet right ventricle (DORV) have improved in recent times. However, high mortality and reoperation rates are still reported. This study reviews our surgical experience in patients with complete AVSD and TOF or DORV. Between 1980 and 2010, 48 consecutive patients with AVSD associated with TOF (n = 26) or DORV (n = 22) underwent complete repair; of which, 19 had staged repair. A transatrial-transpulmonary approach with the 2-patch technique was the preferred surgical technique. Data were obtained from inpatient and outpatient medical files. The mortality rates were 8.3% (4 of 48) for in-hospital death and 13.6% (6 of 44) for late death. Mean follow-up was 8.0 ± 8.7 years (median 10.8 years; range from 2 months to 30 years). Actuarial survival was 76% at 5 years and 71% at 20 years. No deaths occurred after 2001. Reoperations were required in 16 of 48 patients (33%). The overall freedom from reoperation was 55% at 5 and 20 years. Down syndrome was protective for reoperation (p = 0.022). Complete AVSD associated with TOF or DORV can be repaired with good survival. Detachment of the superior bridging leaflet provided ...Continue Reading

References

Feb 1, 1979·The Annals of Thoracic Surgery·T J BergerM E Turner
Jan 1, 1990·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·J AlonsoJ M Brito
Jun 1, 1996·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·A BertoliniR Moretti
Nov 11, 1998·Journal of the American College of Cardiology·K SuzukiS Mimori
Feb 4, 1999·The Annals of Thoracic Surgery·S B O'BlenesD A Murphy
Apr 30, 2008·The Annals of Thoracic Surgery·Gerard J F HoohenkerkMark G Hazekamp
Jan 15, 2009·Cardiology in the Young·Marco RicciEdward L Bove
Mar 31, 2009·The Journal of Thoracic and Cardiovascular Surgery·Gianluca BrancaccioRoberto M Di Donato

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Citations

Sep 24, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ouli XieIgor E Konstantinov
Dec 1, 2013·Journal of the Pediatric Infectious Diseases Society·J Chase McNeilSheldon L Kaplan
Apr 23, 2013·The Annals of Thoracic Surgery·Vijayakumar RajuJoseph A Dearani
Jun 28, 2012·The Annals of Thoracic Surgery·Edvin Prifti
Oct 18, 2015·International Journal of Cardiology·Emmeline E CalkoenMonique R M Jongbloed
Mar 23, 2017·World Journal for Pediatric & Congenital Heart Surgery·Elizabeth H StephensEmile A Bacha
Feb 16, 2021·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Neville Abel George SolomonSwaminathan Vaidyanathan

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