ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
James S. Tweddell
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Tweddell, J. S.
Right arrow Articles by Kessel, M. W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Tweddell, J. S.
Right arrow Articles by Kessel, M. W.

Ann Thorac Surg 1996;62:419-424
© 1996 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Twenty-Year Experience With Repair of Complete Atrioventricular Septal Defects

James S. Tweddell, MD, S. Bert Litwin, MD, Stuart Berger, MD, David Z. Friedberg, MD, John P. Thomas, MD, Peter C. Frommelt, MD, Michele A. Frommelt, MD, Andrew N. Pelech, MD, David A. Lewis, MD, Raymond T. Fedderly, MD, Kathleen A. Mussatto, RN, Maryanne W. Kessel, RN

Department of Cardiothoracic Surgery, Division of Surgery, and Department of Cardiology, Division of Pediatrics, aChildren's Hospital of Wisconsin and Medical College of Wisconsin, Milwaukee, Wisconsin

Background. To determine factors predicting mortality and morbidity after repair of complete atrioventricular septal defect, we retrospectively analyzed preoperative, operative, and postrepair factors on the outcome of 115 consecutive complete atrioventricular septal defect repairs at The Children's Hospital of Wisconsin between January 1974 and December 1993.

Methods. For the entire experience the operative mortality was 13.9% (16 patients). During the most recent era, January 1988 to December 1993, operative mortality was 3.6% (2 of 55 patients). This was significantly improved from the two previous eras, January 1974 to December 1980, 28% (7 of 25) and January 1981 to December 1987, 20% (7 of 35 patients) (p = 0.02). There were seven late deaths; 10-year actuarial survival, including operative mortality was 81%. Age at complete repair decreased; before 1982 all patients were more than 12 months of age, whereas after 1982 64% (56 of 88 patients) were 12 months of age or less.

Results. Moderate or severe preoperative left atrioventricular valve regurgitation was not a risk factor for operative mortality. For operative survivors with moderate to severe preoperative left atrioventricular valve regurgitation (n = 17), late postoperative left atrioventricular valve regurgitation (follow-up data available on 15 patients) was significantly reduced (severe = 1, moderate = 5, mild = 9; p = 0.007).

Conclusions. Early mortality was predicted by the era of surgical repair. Conversion to routine repair during infancy was achieved with a simultaneous decrease in operative mortality. For patients with moderate to severe preoperative left atrioventricular valve regurgitation, significant improvement in the degree of left atrioventricular valve regurgitation can be expected without an increase in operative or late mortality or morbidity.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
A. Dragulescu, V. Fouilloux, O. Ghez, A. Fraisse, B. Kreitmann, and D. Metras
Complete Atrioventricular Canal Repair Under 1 Year: Rastelli One-Patch Procedure Yields Excellent Long-Term Results
Ann. Thorac. Surg., November 1, 2008; 86(5): 1599 - 1606.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
A. Dodge-Khatami, S. Herger, V. Rousson, M. Comber, W. Knirsch, U. Bauersfeld, and R. Pretre
Outcomes and reoperations after total correction of complete atrio-ventricular septal defect
Eur. J. Cardiothorac. Surg., October 1, 2008; 34(4): 745 - 750.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. Suzuki, E. L. Bove, E. J. Devaney, T. Ishizaka, C. S. Goldberg, J. C. Hirsch, and R. G. Ohye
Results of definitive repair of complete atrioventricular septal defect in neonates and infants.
Ann. Thorac. Surg., August 1, 2008; 86(2): 596 - 602.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. P. Malhotra, F. Lacour-Gayet, M. B. Mitchell, D. R. Clarke, M. L. Dines, and D. N. Campbell
Reoperation for left atrioventricular valve regurgitation after atrioventricular septal defect repair.
Ann. Thorac. Surg., July 1, 2008; 86(1): 147 - 152.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
C. L. Backer, R. D. Stewart, F. Bailliard, A. M. Kelle, C. L. Webb, and C. Mavroudis
Complete Atrioventricular Canal: Comparison of Modified Single-Patch Technique With Two-Patch Technique
Ann. Thorac. Surg., December 1, 2007; 84(6): 2038 - 2046.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. Lange, T. Guenther, R. Busch, J. Hess, and C. Schreiber
The presence of Down syndrome is not a risk factor in complete atrioventricular septal defect repair
J. Thorac. Cardiovasc. Surg., August 1, 2007; 134(2): 304 - 310.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
H. A. Seifert, D. L. Howard, J. H. Silber, and D. R. Jobes
Female gender increases the risk of death during hospitalization for pediatric cardiac surgery
J. Thorac. Cardiovasc. Surg., March 1, 2007; 133(3): 668 - 675.
[Abstract] [Full Text] [PDF]

Home page
 ICVTSHome page
M. Kobayashi, Y. Takahashi, and M. Ando
Ideal timing of surgical repair of isolated complete atrioventricular septal defect
Interactive CardioVascular and Thoracic Surgery, February 1, 2007; 6(1): 24 - 26.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. R. Singh, P. S. Warren, T. B. Reece, P. Ellman, B. B. Peeler, and I. L. Kron
Early Repair of Complete Atrioventricular Septal Defect is Safe and Effective
Ann. Thorac. Surg., November 1, 2006; 82(5): 1598 - 1602.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
Y.-Q. Lai, Y. Luo, C. Zhang, and Z.-G. Zhang
Utilization of Double-Orifice Valve Plasty in Correction of Atrioventricular Septal Defect
Ann. Thorac. Surg., April 1, 2006; 81(4): 1450 - 1454.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
N. C. De Oliveira, R. Sittiwangkul, B. W. McCrindle, A. Dipchand, T.-J. Yun, J. G. Coles, C. Caldarone, W. G. Williams, and G. S. Van Arsdell
Biventricular repair in children with atrioventricular septal defects and a small right ventricle: Anatomic and surgical considerations
J. Thorac. Cardiovasc. Surg., August 1, 2005; 130(2): 250 - 257.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
M. Masuda, H. Kado, Y. Tanoue, K. Fukae, T. Onzuka, Y. Shiokawa, T. Shirota, and H. Yasui
Does Down syndrome affect the long-term results of complete atrioventricular septal defect when the defect is repaired during the first year of life?
Eur. J. Cardiothorac. Surg., March 1, 2005; 27(3): 405 - 409.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
E. Prifti, M. Bonacchi, M. Bernabei, A. Crucean, B. Murzi, F. Bartolozzi, V. S. Luisi, M. Leacche, N. S. Nathan, and V. Vanini
Repair of complete atrioventricular septal defects in patients weighing less than 5 kg
Ann. Thorac. Surg., May 1, 2004; 77(5): 1717 - 1726.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. S. Fortuna, D. A. Ashburn, N. Carias De Oliveira, H. M. Burkhart, I. E. Konstantinov, J. G. Coles, J. F. Smallhorn, W. G. Williams, and G. S. Van Arsdell
Atrioventricular septal defects: effect of bridging leaflet division on early valve function
Ann. Thorac. Surg., March 1, 2004; 77(3): 895 - 902.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. Suzuki and T. Fukuda
Two-patch repair of complete atrioventricular septal defect using a small ventricular patch
Ann. Thorac. Surg., November 1, 2002; 74(5): 1718 - 1719.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
E. Prifti, M. Bonacchi, M. Leacche, and V. Vanini
A modified 'single patch' technique for complete atrioventricular septal defect correction
Eur. J. Cardiothorac. Surg., July 1, 2002; 22(1): 151 - 153.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
L. Lindberg, A. K. Olsson, P. Jogi, and C. Jonmarker
How common is severe pulmonary hypertension after pediatric cardiac surgery?
J. Thorac. Cardiovasc. Surg., June 1, 2002; 123(6): 1155 - 1163.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
H. O Al Qethamy, S. Aboelnazar, K. Aizaz, and Y. Al Faraidi
Play Safe: Band the Late Presenting Complete Atrioventricular Canal
Asian Cardiovasc Thorac Ann, March 1, 2002; 10(1): 31 - 34.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
F. A. Crawford Jr and M. R. Stroud
Surgical repair of complete atrioventricular septal defect
Ann. Thorac. Surg., November 1, 2001; 72(5): 1621 - 1629.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
C Wren and J J O'Sullivan
Survival with congenital heart disease and need for follow up in adult life
Heart, April 1, 2001; 85(4): 438 - 443.
[Abstract] [Full Text]

Home page
 PediatricsHome page
W. M. Southgate, D. J. Annibale, T. C. Hulsey, and D. M. Purohit
International Experience With Trisomy 21 Infants Placed on Extracorporeal Membrane Oxygenation
Pediatrics, March 1, 2001; 107(3): 549 - 552.
[Abstract] [Full Text]

Home page
 Eur. J. Cardiothorac. Surg.Home page
A.J.J.C. Bogers, G.P. Akkersdijk, P.L. de Jong, A.H. Henrich, J.J.M. Takkenberg, R.T. van Domburg, and M. Witsenburg
Results of primary two-patch repair of complete atrioventricular septal defect
Eur. J. Cardiothorac. Surg., October 1, 2000; 18(4): 473 - 479.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
N. C. Poirier, W. G. Williams, G. S. Van Arsdell, J. G. Coles, J. F. Smallhorn, A. Omran, and R. M. Freedom
A novel repair for patients with atrioventricular septal defect requiring reoperation for left atrioventricular valve regurgitation
Eur. J. Cardiothorac. Surg., July 1, 2000; 18(1): 54 - 61.
[Abstract] [Full Text] [PDF]

Home page
 Obstet GynecolHome page
M.-F. N. DELISLE, G. G. S. SANDOR, F. TESSIER, and D. F. FARQUHARSON
Outcome of Fetuses Diagnosed With Atrioventricular Septal Defect
Obstet. Gynecol., November 1, 1999; 94(5): 763 - 767.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
K. Suzuki, K. Tatsuno, T. Kikuchi, and S. Mimori
Predisposing factors of valve regurgitation in complete atrioventricular septal defect
J. Am. Coll. Cardiol., November 1, 1998; 32(5): 1449 - 1453.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
V. M. Reddy, D. B. McElhinney, M. M. Brook, A. J. Parry, and F. L. Hanley
Atrioventricular valve function after single patch repair of complete atrioventricular septal defect in infancy: How early should repair be attempted?
J. Thorac. Cardiovasc. Surg., May 1, 1998; 115(5): 1032 - 1036.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. Gunther, D. Mazzitelli, C. J. Haehnel, K. Holper, F. Sebening, and H. Meisner
Long-Term Results After Repair of Complete Atrioventricular Septal Defects: Analysis of Risk Factors
Ann. Thorac. Surg., March 1, 1998; 65(3): 754 - 760.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1996 by The Society of Thoracic Surgeons.