Early and Mid-Term Outcomes of Primary Repair After Atrioventricular Canal Defect: A Single-Center Eight-Year Experience.

atrioventricular septal defect down syndrome mortality surgical outcomes surgical repair

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Sep 2023
Historique:
accepted: 15 09 2023
medline: 17 10 2023
pubmed: 17 10 2023
entrez: 17 10 2023
Statut: epublish

Résumé

Surgical repair techniques and management of patients with atrioventricular septal defect (AVSD) have progressed over the last few decades. Early and definitive interventions have become the choice of treatment for these patients. Based on this background, we aimed to review the early and mid-term outcomes of primary AVSD repair. A total of 53 patients with a mean age of 3.45 ± 5.67 years underwent definitive repair for AVSD between January 2014 and June 2021. The clinical data including age, type of defect, associated co-anomalies, symptoms, pulmonary hypertension, etc. were collected and assessed retrospectively. Mitral regurgitation (MR) as a clinical outcome was assessed at 0, 1, 2, and 5 years. Among the recruited patients, 35 (66.1%) were male and 18 (33.9%) were female. Of 53 patients, repair for the complete defect was done in 38 (71.69%) patients, repair for intermediate/partial defect was done in 15 (23.1%) patients, and one patient underwent repair for incomplete type. Other associated co-anomalies were anterior mitral leaflet (12 (22.6%)), atrial and ventricular septal defect (VSD) (30 (56.6%)), and patent ductus arteriosus (PDA) (11 (20.8%)). Different procedures for surgical repair included patch closure, cleft repair, and polytetrafluoroethylene (PTFE) VSD closure. After repair, the mean follow-up period was 46.73 ± 27.37 months. Overall mortality was 3.78% (2/53), and two patients underwent reintervention due to symptomatic severe MR. A definitive and timely correction of AVSD shows satisfactory early and mid-term results.

Sections du résumé

BACKGROUND/AIM OBJECTIVE
Surgical repair techniques and management of patients with atrioventricular septal defect (AVSD) have progressed over the last few decades. Early and definitive interventions have become the choice of treatment for these patients. Based on this background, we aimed to review the early and mid-term outcomes of primary AVSD repair.
METHODS METHODS
A total of 53 patients with a mean age of 3.45 ± 5.67 years underwent definitive repair for AVSD between January 2014 and June 2021. The clinical data including age, type of defect, associated co-anomalies, symptoms, pulmonary hypertension, etc. were collected and assessed retrospectively. Mitral regurgitation (MR) as a clinical outcome was assessed at 0, 1, 2, and 5 years.
RESULTS RESULTS
Among the recruited patients, 35 (66.1%) were male and 18 (33.9%) were female. Of 53 patients, repair for the complete defect was done in 38 (71.69%) patients, repair for intermediate/partial defect was done in 15 (23.1%) patients, and one patient underwent repair for incomplete type. Other associated co-anomalies were anterior mitral leaflet (12 (22.6%)), atrial and ventricular septal defect (VSD) (30 (56.6%)), and patent ductus arteriosus (PDA) (11 (20.8%)). Different procedures for surgical repair included patch closure, cleft repair, and polytetrafluoroethylene (PTFE) VSD closure. After repair, the mean follow-up period was 46.73 ± 27.37 months. Overall mortality was 3.78% (2/53), and two patients underwent reintervention due to symptomatic severe MR.
CONCLUSIONS CONCLUSIONS
A definitive and timely correction of AVSD shows satisfactory early and mid-term results.

Identifiants

pubmed: 37846269
doi: 10.7759/cureus.45304
pmc: PMC10576971
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e45304

Informations de copyright

Copyright © 2023, Kumar et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Rupesh Kumar (R)

Department of Cardiothoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.

Vikram Halder (V)

Department of Cardiothoracic Surgery, U. N. Mehta Institute of Cardiology and Research Centre, Ahmedabad, IND.

Soumitra Ghosh (S)

Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.

Shyam Thingnam (S)

Department of Cardiothoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.

Harkant Singh (H)

Department of Cardiothoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.

Anand K Mishra (AK)

Department of Cardiothoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.

Sachin Mahajan (S)

Department of Cardiothoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.

Pankaj Aggarwal (P)

Department of Cardiothoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.

Aduri Raja S Dutta (ARS)

Department of Cardiothoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.

Amit Mishra (A)

Department of Cardiothoracic Surgery, U. N. Mehta Institute of Cardiology and Research Centre, Ahmedabad, IND.

Classifications MeSH