Background: Since Wilcox's description of the simplified single-patch technique for atrioventricular septal defect (AVSD) repair in 1997, several studies have compared that technique with the two-patch technique.
Objective: To report the mid- and long-term results of the simplified single-patch technique for complete AVSD repair.
Methods: Retrospective study of 16 consecutive cases between January 2001 and December 2011. The patients' mean age was 18.31 ± 34.19 months (2 months - 11 years), and their mean weight, 7.80 ± 6.12 kg (3.77 - 25.0 kg). Six patients were males and 14 had Down syndrome. Mean follow-up duration was 54.97 ± 47.79 months.
Results: Mean cardiopulmonary bypass time was 74.63 ± 18.48 min (49 - 112 min), and mean aortic cross-clamp time, 46.44 ± 11.89 min (34 - 67 min). Two patients died during hospitalization (12.5%), both of cardiovascular causes. Three patients underwent reoperation due to left atrioventricular (AV) valve regurgitation, and two had third-degree VA block, requiring permanent pacemaker implantation. No patient had left ventricular outflow tract obstruction. The 14 surviving patients remain asymptomatic, ten of whom with mild left VA valve regurgitation (71.42%).
Conclusion: The simplified single-patch technique for complete AVSD repair proved to be feasible, providing adequate correction of the defects and favorable clinical and echocardiographic outcome in the mean 57.97-month follow-up.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.5935/abc.20130067 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Low Complexity CNN Structure for Automatic Bleeding Zone Detection in Wireless Capsule Endoscopy Imaging.
Annu Int Conf IEEE Eng Med Biol Soc
July 2019
Wireless capsule endoscopy (WCE) is a swallowable device used for screening different parts of the human digestive system. Automatic WCE image analysis methods reduce the duration of the screening procedure and alleviate the burden of manual screening by medical experts. Recent studies widely employ convolutional neural networks (CNNs) for automatic analysis of WCE images; however, these studies do not consider CNN's structural and computational complexities.
View Article and Find Full Text PDFDual en bloc technique for adult renal transplantation.
Clin Transplant
August 2017
Western University Schulich School of Medicine and Dentistry, London, ON, Canada.
Introduction: We describe and provide follow-up for a novel simplified technique permitting dual en bloc (DEB) transplantation of adult organs using single in situ arterial and venous anastomoses.
Methods: Twenty-two adult DEB transplants were performed at our center between 2001 and 2012, utilizing 44 kidneys en bloc. Results were compared with 20 solitary transplants from expanded criteria donors (ECD) associated with lower terminal serum creatinines and Remuzzi biopsy scores vs DEB group.
Results of simplified single-patch repair for complete atrioventricular septal defect.
Arq Bras Cardiol
March 2013
Instituto de Cardiologia, Fundação Universitária de Cardiologia, Universidade Federal do Rio Grande do Sul 2, Porto Alegre, RS – Brazil.
Background: Since Wilcox's description of the simplified single-patch technique for atrioventricular septal defect (AVSD) repair in 1997, several studies have compared that technique with the two-patch technique.
Objective: To report the mid- and long-term results of the simplified single-patch technique for complete AVSD repair.
Methods: Retrospective study of 16 consecutive cases between January 2001 and December 2011.
Right atrial and septal reconstruction after tumor excision: the single-patch technique.
Interact Cardiovasc Thorac Surg
May 2009
First Division of Cardiac Surgery and Transplantation Services, Onassis Cardiac Surgery Center, Athens, Greece.
Surgical excision is the only therapy for benign atrial tumors, if serious complications are to be avoided. We propose a simplified technique whereupon a single autologous pericardial patch is used to not only close the septal defect, but to also reconstruct the right atrium. This new technique allows for wide excision of tumors without reduction of the right atrium, distortion of the tricuspid valve or traction on the atrioventricular node.
View Article and Find Full Text PDFVentricular scoop in atrioventricular septal defect: relevance to simplified single-patch method.
Ann Thorac Surg
January 2009
Cardiac Morphology Unit, National Heart & Lung Institute, Imperial College London, London, United Kingdom.
Background: The simplified single-patch repair for atrioventricular septal defect seems an attractive alternative to conventional methods despite controversies on its suitability in hearts with a large ventricular scoop. Inasmuch as previous anatomic studies were conducted before the advent of this technique, we revisited this malformation with the aim to identify morphologic markers that may aid patient selection.
Methods: We examined 43 heart specimens: 31 with the complete form and 12 with the partial form of the malformation.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!