A single surgeon experience using a modified single patch technique for the repair of 128 patients with complete atrioventricular canal is presented. Thirty-day mortality was 1.6%. Follow-up of these patients has shown no incidence of significant residual ventricular septal defect, a 2.3% incidence of reoperation on the mitral valve, and no instances of left ventricular outlet obstruction requiring resection in the follow-up period. Comparisons are drawn between these results and the author's own experience with repair of complete atrioventricular canal using a two-patch technique (46 cases) and repair of partial atrioventricular canal (126 cases) to shed light on late valve function and left ventricular outlet obstruction in all groups.
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http://dx.doi.org/10.1053/j.pcsu.2007.01.009 | DOI Listing |
JTCVS Tech
December 2024
Pediatric Cardiothoracic Surgery, Children's Medical Center Dallas, Dallas, Tex.
J Cardiothorac Vasc Anesth
November 2024
Division of Cardiac Anesthesia, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital; Department of Anaesthesia, Harvard Medical School, Boston, MA.
Objectives: Perioperative management strategies and outcomes for low-risk congenital heart disease (CHD) surgery vary between institutions. To date, no consensus exists on standardized management for pediatric patients undergoing cardiac surgery. This study seeks to benchmark the perioperative management of 4 common CHD lesions and explore clinical factors affecting postoperative outcomes.
View Article and Find Full Text PDFJ Cardiovasc Magn Reson
December 2024
Harvard Medical School, Boston, Massachusetts, USA; Department of Cardiology, Boston Children's Hospital, Boston, Massachusetts, USA. Electronic address:
Background: Patients with hypoplastic left ventricles (LV) who undergo volume-loading procedures (recruitment, biventricular [BIV] repair) are at risk for adverse outcomes, including heart failure and death. We investigated pre-BIV LV shape as a predictor of outcome after BIV repair in patients with hypoplastic LVs.
Methods: Baseline and post-recruitment cardiac magnetic resonance imaging and computed tomography data were analyzed in patients with hypoplastic LV (<50 mL/m).
World J Pediatr Congenit Heart Surg
November 2024
Division of Cardiovascular Surgery, Children's Hospital and Clinics of Minnesota, Minneapolis, MN, USA.
Background: We sought to determine the management and early outcomes of complete atrioventricular septal defect-tetralogy of Fallot (AVSD-TOF) for a contemporary multicenter cohort.
Methods: Of 739 participants in the Congenital Heart Surgeons' Society AVSD cohort (January 2012-May 2021), 40 had AVSD-TOF. We first compared survival differences for patients with AVSD-TOF versus those with isolated AVSD using propensity matching.
Eur Heart J Cardiovasc Imaging
November 2024
Department of Radiology, West China Hospital, Sichuan University, 37# Guo Xue Xiang, Chengdu, Sichuan 610041, China.
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