Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-22T23:47:38.486Z Has data issue: false hasContentIssue false
  • English
  • Français

Atrioventricular septal defect and the left atrioventricular valve at reoperation

Published online by Cambridge University Press:  19 August 2008

Pietro A. Abbruzzese ,
Giancarlo Crupi ,
Roberto Tumbarello ,
Alessandra Napoleone ,
Maurizio Merlo  and
Lucio Parenzan
Pietro A. Abbruzzese*
Affiliation:
From the Division of Cardiac Surgery, Ospedali Riuniti, Bergamo
Giancarlo Crupi
Affiliation:
From the Division of Cardiac Surgery, Ospedali Riuniti, Bergamo
Roberto Tumbarello
Affiliation:
From the Division of Cardiac Surgery, Ospedali Riuniti, Bergamo
Alessandra Napoleone
Affiliation:
From the Division of Cardiac Surgery, Ospedali Riuniti, Bergamo
Maurizio Merlo
Affiliation:
From the Division of Cardiac Surgery, Ospedali Riuniti, Bergamo
Lucio Parenzan
Affiliation:
From the Division of Cardiac Surgery, Ospedali Riuniti, Bergamo
*
Dr. Pietro A. Abbruzzese, Divisione de Cardiochirurgia, Ospedale San Michele, Via Peretti, 09100 Cagliari, Italy
Get access Rights & Permissions [Opens in a new window]

Summary

Between 1968 and December 1990, 29 patients underwent 33 reoperations for dysfunction of the left atrioventricular valve after correction ofatrioventricular septal defect. Repair of the valve was possible in all 10 patients who, initially, had a common atrioventricular orifice, using straightforward procedures such as closure of the septal commissure and annuloplasties according to Wooler. Additional valvar abnormalities (double orifice; fenestration of leaflets; malpositioned or malformed papillary muscles; and additional clefts) were rare in this group of patients. In contrast, these anomalies were frequent in the 19 patients who, initially, had separate right and left atrioventricular valves.

Type
The World Forum for Pediatric Cardiology Symposium on Atrioventricular Septal Defect
Information
Cardiology in the Young , Volume 1 , Issue 4 , October 1991 , pp. 374 - 378
Copyright
Copyright © Cambridge University Press 1991

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

Abbruzzese, PA, Napoleone, A, Bini, RM, Annecchino, FP, Merlo, M, Parenzan, L.Late left atrioventricular valve insufficiency after repair of partial atrioventricular septal defects: Anatomical and surgical determinants. Ann Thorac Surg 1990; 49: 111–114.CrossRefGoogle ScholarPubMed
Abbruzzese, PA, Livermore, J, Sunderland, CO, Nunley, DL, lssenberg, H, Khonsari, G, Garcia, CE, Starr, A.Mitral repair in complete atrioventricular canal. Ease of correction in early infancy. J Thorac Cardiovasc Surg 1983; 85: 388–395.CrossRefGoogle ScholarPubMed
Kadoba, K, Jonas, RA, Mayer, JE, Castañeda, AR.Mitral valve replacement in the first year of life. J Thorac Cardiovasc Surg 1990; 100: 762–768.CrossRefGoogle ScholarPubMed
Bharati, S, Lev, M, McAllister, HA, Kirklin, JW.Surgical anatomy of the atrioventricular valve in the intermediate type of common atrioventricular orifice. J Thorac Cardiovasc Surg 1980; 79: 884–889.CrossRefGoogle ScholarPubMed
Ebels, T, Anderson, RH, Devine, WA, Debich, DE, Penkoske, PA, Zuberbuhler, JR.Anomalies of the left atrioventricular valve and related ventricular septal morphology in atrioventricular septal defects. J Thorac Cardiovasc Surg 1990; 99: 299–307.CrossRefGoogle ScholarPubMed
Ilbawi, MN, Idriss, FS, Deleon, SY, Riggs, TW, Muster, AJ, Berry, TE, Paul, MH.Unusual mitral valve abnormalities complicating surgical repair of endocardial cushion defects. J Thorac Cardiovasc Surg 1983; 85: 697–704.CrossRefGoogle ScholarPubMed
McGrath, LB, Kirklin, JW, Soto, B, Bargeron, LM.Secondary left atrioventricular valve replacement in atrio-ventricular septal (A-V canal) defect: A method to avoid left ventricular outflow obstruction. J Thorac Cardiovasc Surg 1985; 89: 632–635.CrossRefGoogle Scholar