Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-23T03:13:03.297Z Has data issue: false hasContentIssue false
  • English
  • Français

The current surgical perspective to repair of atrioventricular septal defect with common atrioventricular junction

Published online by Cambridge University Press:  01 December 2010

Tom R. Karl ,
Sylvio C. J. Provenzano ,
Graham R. Nunn  and
Robert H. Anderson
Tom R. Karl*
Affiliation:
Department of Cardiac Surgery, Queensland Paediatric Cardiac Service, Mater Children’s Hospital, Brisbane, Australia
Sylvio C. J. Provenzano
Affiliation:
Department of Cardiac Surgery, Queensland Paediatric Cardiac Service, Mater Children’s Hospital, Brisbane, Australia
Graham R. Nunn
Affiliation:
Department of Cardiac Surgery, Queensland Paediatric Cardiac Service, Mater Children’s Hospital, Brisbane, Australia
Robert H. Anderson
Affiliation:
Institute of Human Genetics, Newcastle University, Newcastle upon Tyne, United Kingdom
*
Correspondence to: Professor T. R. Karl, Department of Paediatric Cardiac Surgery, Mater Children’s Hospital, Raymond Terrace, S. Brisbane QLD 4101 Australia. Tel: +61 411340036; Fax: +1 212 202 3622; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Atrioventricular septal defect with common atrioventricular junction is a relatively common congenital cardiac malformation. It sometimes presents challenging surgical problems, especially when seen in combination with tetralogy of Fallot. We describe herein our current concepts regarding surgical repair of atrioventricular septal defect with and without tetralogy, discussing indications for surgery, timing, technical aspects, and outcomes.

Keywords

Atrioventricular canal malformationleft atrioventricular valveAustralian repaircongenital cardiac diseaseendocardial cushion defect
Type
Original Article
Information
Cardiology in the Young , Volume 20 , Issue S3: Rare and Challenging Congenital Cardiac Lesions: an Interdisciplinary Approach , December 2010 , pp. 120 - 127
Copyright
Copyright © Cambridge University Press 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Lillehei, CW. Controlled cross circulation for direct-vision intracardiac surgery: correction of ventricular septal defects, atrioventricularis communis, and tetralogy of Fallot. Postgrad Med 1955; 17: 388–396.CrossRefGoogle ScholarPubMed
2.Anderson, RH, Wessels, A, Vettukattil, JJ. Morphology and morphogenesis of atrioventricular septal defect with common atrioventricular junction. World Journal for Pediatric and Congenital Heart Surgery 2010; 1: 59–67.CrossRefGoogle ScholarPubMed
3.Rastelli, GC, Kirklin, JW, Titus, JL. Anatomic observations on complete form of persistent common atrioventricular canal with special reference to atrioventricular valves. Mayo Clin Proc 1966; 41: 296–308.Google ScholarPubMed
4.Kuribayashi, T. Persistent common atrioventricular canal of the complete form associated with anomalies of the aortic arch system in WKY/NCrj rat fetuses. Jpn Circ J 1994; 58: 720–726.CrossRefGoogle ScholarPubMed
5.Cohen, M, Spray, T. Surgical management of unbalanced atrioventricular canal defect. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2005: 135–144.CrossRefGoogle ScholarPubMed
6.Nicholson, IA, Nunn, GR, Sholler, GF, et al. Simplified single patch technique for the repair of atrioventricular septal defect. J Thorac Cardiovasc Surg 1999; 118: 642–646.CrossRefGoogle ScholarPubMed
7.Nunn, GR. Atrioventricular canal: modified single patch technique. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annual 2007: 28–31.CrossRefGoogle ScholarPubMed
8.Karl, TR, Sano, S, Pornvilawan, S, Mee, RBB. Transatrial transpulmonary repair of tetralogy of Fallot: favourable outcome of non-neonatal repair. Ann Thorac Surg 1992; 54: 903–907.CrossRefGoogle Scholar
9.Anagnostopoulos, P, Nolke, L, Alphonso, N, et al. Pulmonary valve cusp augmentation may improve results for repair of tetralogy of Fallot. Ann Thorac Surg 2007; 83: 1458–1462.CrossRefGoogle Scholar
10.Malm, T, Karl, TR, Mee, RBB. Surgical treatment of atrioventricular septal defect with right ventricular outflow tract obstruction. J Card Surg 1993; 8: 622–627.CrossRefGoogle ScholarPubMed
11.Karl, TR. Atrioventricular septal defect with Tetralogy of Fallot or double outlet right ventricle: surgical considerations. Semin Thorac Cardiovasc Surg 1997; 9: 26–34.Google ScholarPubMed
12.Pfammatter, J, Wagner, B, Berdat, P, et al. Procedural factors associated with early postoperative arrhythmias after repair of congenital heart defects. J Thorac Cardiovasc Surg 2002; 123: 258–262.CrossRefGoogle ScholarPubMed
13.Murashita, T, Hatta, E, Miyatake, T, et al. Long-term results of mitral valve regurgitation after surgical repair of incomplete trioventricular septal defect. Kyobu Geka 1999; 52: 295–300.Google Scholar
14.Prifti, E, Bonacchi, M, Bernabei, M, et al. Repair of complete Atrioventricular septal defect in patients weighing less than 5 kg. Ann Thorac Surg 2004; 77: 1717–1726.CrossRefGoogle Scholar
15.Meskishvili, V, Ishino, K, Dahnert, I, et al. Correction of complete atrioventricular septal defects with the double-patch technique and cleft closure. Ann Thorac Surg 1996; 62: 519–524.CrossRefGoogle Scholar
16.Najm, HK, Williams, WG, Chuaratanaphong, S, et al. Primum atrial septal defect in children: early results, risk factors, and freedom from re-operation. Ann Thorac Surg 1998; 66: 829–835.CrossRefGoogle Scholar
17.Formigari, R, Di Donato, R, Gargiulo, G, et al. Better surgical prognosis for patients with complete atrioventricular septal defect and Down’s syndrome. Ann Thorac Surg 2004; 78: 666–672.CrossRefGoogle ScholarPubMed
18.Jacobs, JP, et al. Atrioventricular septal defects: lessons learned about patterns of practice and outcomes from the congenital heart surgery database of the society of thoracic surgeons. World Journal for Pediatric and Congenital Heart Surgery 2010; 1: 68–77.CrossRefGoogle ScholarPubMed
19.D’Allaines, C, Colvez, P, Fevre, C, Levasseur, P, Facquet, J, Dubost, C. Une cardiopathie congénitale rare: l’association d’une tétralogie et d’un canal atrio-ventriculaire complet. Détection clinique et réparation chirurgicale. Arch Mal Coeur 1969; 62: 996–1013.Google Scholar