Advertisement

Commentary: Scoops and Goose Necks: Long Term Challenges Following Atrioventricular Septal Defect Repair

      The association between unplanned reoperations and long-term survival following atrioventricular septal defect repair may be confounded by intrinsic anatomy and concomitant cardiac defects.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Seminars in Thoracic and Cardiovascular Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Ramgren J.J.
        • Nozohoor S.
        • Zindovic I.
        • et al.
        Reoperations after repair for atrioventricular septal defects: >25 Years experience at a single center.
        Semin Thorac Cardiovasc Surg. 2022; (S1043-0679(22)00140-X) (Epub ahead of print. PMID: 35738495.)
        • Fong L.S.
        • Betts K.
        • Bell D.
        • et al.
        Complete atrioventricular septal defect repair in Australia: Results over 25 years.
        J Thorac Cardiovasc Surg. 2020; 159 (e1018): 1014-1025
        • Mery C.M.
        • Zea-Vera R.
        • Chacon-Portillo M.A.
        • et al.
        Contemporary results after repair of partial and transitional atrioventricular septal defects.
        J Thorac Cardiovasc Surg. 2019; 157 (e1114): 1117-1127
        • Najm H.K.
        • Coles J.G.
        • Endo M.
        • et al.
        Complete atrioventricular septal defects: Results of repair, risk factors, and freedom from reoperation.
        Circulation. 1997; 96: 311-315
        • Stulak J.M.
        • Burkhart H.M.
        • Dearani J.A.
        • et al.
        Reoperations after repair of partial atrioventricular septal defect: A 45-year single-center experience.
        Ann Thorac Surg. 2010; 89: 1352-1359
        • Ivanov Y.
        • Buratto E.
        • Naimo P.
        • et al.
        Incidence and management of the left ventricular outflow obstruction in patients with atrioventricular septal defects.
        Interact Cardiovasc Thorac Surg. 2022; 34: 604-610
        • Overman DM.
        Reoperation for left ventricular outflow tract obstruction after repair of atrioventricular septal.
        Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2014; 17: 43-47
        • Overman D.M.
        • Dummer K.B.
        • Moga F.X.
        • et al.
        Unbalanced atrioventricular septal defect: Defining the limits of biventricular repair.
        Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2013; 16: 32-36
        • Nathan M.
        • Emani S.
        • IJ R
        • Liu H.
        • et al.
        Mid-term outcomes in unbalanced complete atrioventricular septal defect: Role of biventricular conversion from single-ventricle palliation.
        Eur J Cardiothorac Surg. 2017; 52: 565-572
        • Nathan M.
        • Liu H.
        • Pigula F.A.
        • et al.
        Biventricular conversion after single-ventricle palliation in unbalanced atrioventricular canal defects.
        Ann Thorac Surg. 2013; 95 (discussion 2095-2086): 2086-2095
        • Buratto E.
        • Ye X.T.
        • Brizard C.P.
        • et al.
        Successful atrioventricular valve repair improves long-term outcomes in children with unbalanced atrioventricular septal defect.
        J Thorac Cardiovasc Surg. 2017; 154: 2019-2027
        • Tishler B.
        • Gauvreau K.
        • Colan S.D.
        • et al.
        Technical performance score predicts partial/transitional atrioventricular septal defect outcomes.
        Ann Thorac Surg. 2018; 105: 1461-1468
        • Ijsselhof R.
        • Gauvreau K.
        • Del Nido P.
        • et al.
        Technical performance score: Predictor of outcomes in complete atrioventricular septal defect repair.
        Ann Thorac Surg. 2017; 104: 1371-1377
        • Ijsselhof R.
        • Gauvreau K.
        • Nido P.D.
        • et al.
        Atrioventricular valve function predicts reintervention in complete atrioventricular septal defect.
        World J Pediatr Congenit Heart Surg. 2020; 11: 247-248
        • Sengupta A.
        • Gauvreau K.
        • Kohlsaat K.
        • et al.
        Intraoperative technical performance score predicts outcomes after congenital cardiac surgery.
        Ann Thorac Surg. 2022; (18:S0003-4975(22)00704-4) (Epub ahead of print)

      Linked Article

      • Reoperations After Repair for Atrioventricular Septal Defects: >25 Years Experience at a Single Center
        Seminars in Thoracic and Cardiovascular Surgery
        • Preview
          Our aim was to evaluate the total burden of reoperations after previous repair for atrioventricular septal defects, including long-term survival and identify risk factors for reoperation. All patients with surgical correction for atrioventricular septal defect (AVSD) 1993- 2020 underwent a follow-up in October 2020. Clinical data were obtained by retrospective review and evaluated with Kaplan-Meier and competing risk analysis. Of 477 patients who underwent initial repair, 53 patients (11.1%) underwent a total of 82 reoperations.
        • Full-Text
        • PDF