HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Pozzi, M. Articles by Urban, A. E. Search for Related Content PubMed PubMed Citation Articles by Pozzi, M. Articles by Urban, A. E.

The Journal of Thoracic and Cardiovascular Surgery, Vol 101, 138-142, Copyright © 1991 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Atrioventricular septal defects. Analysis of short- and medium-term results

M Pozzi, J Remig, R Fimmers and AE Urban
Department of Thoracic and Cardiovascular Surgery, Kinder-Klinik, Sankt Augustin, Federal Republic of Germany.

Atrioventricular septal defects were repaired in 87 patients from 1981 to 1988. Interventricular communications were present in 73 patients, and major associated anomalies were present in 17 (tetralogy of Fallot in four, double-outlet right ventricle in two, multiple ventricular septal defects in 11). Five deaths occurred in the hospital (5.7%; 70% confidence limits, 3.2% to 9.7%). A preoperative New York Heart Association class V functional condition was the only incremental risk factor (p = 0.02) for death in the hospital. No patient (0%; 70% confidence limits, 0% to 2.15%) had complete heart block. Actuarial survival rate at 80 months was 81.4%. The only incremental risk factor (p = 0.005) leading to reoperation was a preoperative valve incompetence. Actuarial rate at 80 months for freedom from reoperation was 84.2% in the overall group of patients after repair of atrioventricular septal defect. We conclude that an improvement in survival and success rates should be found when a policy of earlier repair is followed.

This article has been cited by other articles:

				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]

				R. Formigari, R. M. Di Donato, G. Gargiulo, D. Di Carlo, C. Feltri, F. M. Picchio, and B. Marino Better surgical prognosis for patients with complete atrioventricular septal defect and Down's syndrome Ann. Thorac. Surg., August 1, 2004; 78(2): 666 - 672. [Abstract] [Full Text] [PDF]

				T. Murashita, T. Kubota, J.-i. Oba, T. Aoki, J. Matano, and K. Yasuda Left atrioventricular valve regurgitation after repair of incomplete atrioventricular septal defect Ann. Thorac. Surg., June 1, 2004; 77(6): 2157 - 2162. [Abstract] [Full Text] [PDF]

				A. A. Al-Hay, S. J. MacNeill, M. Yacoub, D. F. Shore, and E. A. Shinebourne Complete atrioventricular septal defect, Down syndrome, and surgical outcome: risk factors Ann. Thorac. Surg., February 1, 2003; 75(2): 412 - 421. [Abstract] [Full Text] [PDF]

				G. Stellin, V.L. Vida, O. Milanesi, G. Rizzoli, M. Rubino, M.A. Padalino, R. Bonato, and D. Casarotto Surgical treatment of complete A-V canal defects in children before 3 months of age Eur. J. Cardiothorac. Surg., February 1, 2003; 23(2): 187 - 193. [Abstract] [Full Text] [PDF]

				A. Boening, J. Scheewe, K. Heine, J. Hedderich, D. Regensburger, H.-H. Kramer, and J. Cremer Long-term results after surgical correction of atrioventricular septal defects Eur. J. Cardiothorac. Surg., August 1, 2002; 22(2): 167 - 173. [Abstract] [Full Text] [PDF]

				J. Wetter, N. Sinzobahamvya, C. Blaschczok, A.-M. Brecher, L. M. Gravinghoff, A. A. Schmaltz, and A. E. Urban Closure of the zone of apposition at correction of complete atrioventricular septal defect improves outcome Eur. J. Cardiothorac. Surg., February 1, 2000; 17(2): 146 - 153. [Abstract] [Full Text] [PDF]

				E. Kuralay, E. Ozal, U. Demirkilic, F. Cingoz, and H. Tatar Left atrioventricular valve repair technique in partial atrioventricular septal defects Ann. Thorac. Surg., November 1, 1999; 68(5): 1746 - 1750. [Abstract] [Full Text] [PDF]

				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]

				M. J. Uddin, S. Velimir, A. L. Salama, B. Othman, L. Othman, E. Haque, and H. Shuhaiber Surgical Repair of Complete Atrioventricular Septal Defect Asian Cardiovasc Thorac Ann, March 1, 1998; 6(1): 37 - 40. [Abstract] [Full Text] [PDF]

				V. Alexi-Meskishvili, K. Ishino, I. Dahnert, F. Uhlemann, Y. Weng, P. E. Lange, and R. Hetzer Correction of Complete Atrioventricular Septal Defects With the Double-Patch Technique and Cleft Closure Ann. Thorac. Surg., August 1, 1996; 62(2): 519 - 524. [Abstract] [Full Text]

				K. Bando, M. W. Turrentine, K. Sun, T. G. Sharp, G. J. Ensing, A. P. Miller, K. A.Kesler, R. S. Binford, G. N. Carlos, R. A. Hurwitz, et al. SURGICAL MANAGEMENT OF COMPLETE ATRIOVENTRICULAR SEPTAL DEFECTSA twenty-year experience J. Thorac. Cardiovasc. Surg., November 1, 1995; 110(5): 1543 - 1554. [Abstract] [Full Text]

				H. Miyamura, S. Eguchi, H. Watanabe, H. Kanazawa, M. Sugawara, S. Tatebe, M. Shinonaga, and J.-i. Hayashi Total circular annuloplasty with absorbable suture for the repair of left atrioventricular valve regurgitation in atrioventricular septal defect J. Thorac. Cardiovasc. Surg., June 1, 1994; 107(6): 1428 - 1431. [Abstract] [Full Text]