Post-operative left atrioventricular valve function after the staged repair of complete atrioventricular septal defect with tetralogy of Fallot

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• 作者：Kazuki Morimoto ; Takaya Hoashi…
• 关键词：Atrioventricular septal defect ; Tetralogy of Fallot ; Atrioventricular valve plasty ; Pediatrics
• 刊名：General Thoracic and Cardiovascular Surgery
• 出版年：2014
• 出版时间：October 2014
• 年：2014
• 卷：62
• 期：10
• 页码：602-607
• 全文大小：409 KB
• 参考文献：1. Nomoto S, Muraoka R, Yokota M, Aoshima M, Kyoku I, Nakano H. Left ventricular volume as a predictor of postoperative hemodynamics and a criterion for total correction of tetralogy of Fallot. J Thorac Cardiovasc Surg. 1984;88:389-4.
  2. d’Allaines C, Colvez P, Fevre C, Levasseur P, Facquet J, Dubost C. A rare congenital cardiopathy: association of tetralogy with complete atrio-ventricular communication. Clinical detection and surgical repair. Arch Mal Coeur Vaiss. 1969;62:996-013.
  3. Fisher RD, Bone DK, Rowe RD, Gott VL. Complete atrioventricular canal associated with tetralogy of Fallot: clinical experience and operative methods. J Thorac Cardiovasc Surg. 1975;70:265-1.
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  10. Hoohenkerk GJ, Schoof PH, Bruggemans EF, Rijlaarsdam M, Hazekamp MG. 28?years-experience with transatrial-transpulmonary repair of atrioventricular septal defect with tetralogy of Fallot. Ann Thorac Surg. 2008;85:1686-. CrossRef
  11. Brancaccio G, Michielon G, Filippelli S, Perri G, Di Carlo D, Iorio FS, et al. Transannular patching is a valid alternative for tetralogy of Fallot and complete atrioventricular septal defect repair. J Thorac Cardiovasc Surg. 2009;137:919-3. CrossRef
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  13. Shuhaiber JH, Robinson B, Gauvreau K, Breitbart R, Mayer JE, del Nido PJ, et al. Outcome after repair of atrioventricular septal defect with tetralogy of Fallot. J Thorac Cardiovasc Surg. 2012;143:338-3. CrossRef
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• 作者单位：Kazuki Morimoto (1)
  Takaya Hoashi (1)
  Koji Kagisaki (1)
  Kenichi Kurosaki (2)
  Isao Shiraishi (2)
  Hajime Ichikawa (1)
  
  1. Department of Pediatric Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1, Fujishirodai, Suita, Osaka, 565-8565, Japan
  2. Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan
  
• ISSN：1863-6713

文摘

Objective This study reviewed surgical outcomes of staged repair for complete atrioventricular septal defect with tetralogy of Fallot, especially with focusing on the post-operative left-sided atrioventricular valve function. Methods Between 1992 and 2013, 10 patients with complete atrioventricular septal defect with tetralogy of Fallot underwent total correction by the following surgical strategy. Systemic-to-pulmonary shunt was placed at first at the mean age of 1.5?±?1.3?months. Then confirming sufficient development of the left heart structures, the total correction was performed at the mean age of 1.4?±?0.6?years. Second shunt was required in 4 (40?%) patients to develop the left heart structures. Results The left ventricular end-diastolic volume before total correction was 127?±?30?% of normal size. The two-patch repair was applied in 8 (80?%) patients. There was no mortality, and 1 reoperation case for left-sided atrioventricular valve regurgitation. The follow-up was completed on all patients and the mean follow-up period was 7.4?±?7.0?years. The post-operative left-sided atrioventricular valve regurgitation kept less than moderate for 10-year follow-up in all patients except one patient who required the repair of left-sided atrioventricular valve 1?year after the total correction. Conclusions The post-operative left-sided atrioventricular valve function after the repair of complete atrioventricular septal defect with tetralogy of Fallot maintained with the application of the two-patch repair, early and repeated palliative systemic-to-pulmonary shunt, and the early definitive surgery.