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Surgical repair of atrioventricular septal defect with common atrioventricular valve in early infancy

Published online by Cambridge University Press:  13 October 2006

François Lacour-Gayet ,
David N. Campbell ,
Max Mitchell ,
Sunil Malhotra  and
Robert H. Anderson
François Lacour-Gayet
Affiliation:
The Children's Hospital Heart Institute, Denver, Colorado, United States of America
David N. Campbell
Affiliation:
The Children's Hospital Heart Institute, Denver, Colorado, United States of America
Max Mitchell
Affiliation:
The Children's Hospital Heart Institute, Denver, Colorado, United States of America
Sunil Malhotra
Affiliation:
The Children's Hospital Heart Institute, Denver, Colorado, United States of America
Robert H. Anderson
Affiliation:
Cardiac Unit, Institute of Child Health, University College, London, United Kingdom
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Abstract

The repair of atrioventricular septal defect with a common atrioventricular valve is reconstructive surgery at its best, and hence one of the favourite operations performed by paediatric cardiac surgeons. In the past, the post-operative course from such patients was dominated by the occurrence of pulmonary hypertension crises, which were responsible for significant morbidity and mortality. Nowadays, repair is generally undertaken early in infancy, and this approach has mitigated the problems emanating from pulmonary hypertension. Coupled with a better understanding of the anatomy, and adaptation of the surgical techniques, repair can now be achieved safely at around 2 to 4 months of life, without increasing the risk of postoperative regurgitation across the reconstructed left atrioventricular valve. In this review, we discuss the surgical techniques required for, and clinical results of, such early repair.

Keywords

Atrioventricular canalRastelli classificationconduction tissuesatrioventricular valves
Type
The Atrioventricular Valves
Information
Cardiology in the Young , Volume 16 , Supplement S3: Controversies and Challenges of the Atrioventricular Junctions and Other Challenges Facing Paediatric Cardiovascular Practitioners and their Patients , September 2006 , pp. 52 - 58
Copyright
© 2006 Cambridge University Press

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