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Transatrial-transpulmonary repair of atrioventricular septal defect with right ventricular outflow tract obstruction

Malm, T LU ; Karl, T R and Mee, R B (1993) In Journal of Cardiac Surgery 8(6). p.7-622
Abstract

Twenty patients had a repair of an atrioventricular septal defect with tetralogy of Fallot (n = 13) or double outlet right ventricle (n = 7). Mean age was 3.5 years. Surgical technique included transatrial-transpulmonary resection of right ventricular outflow tract obstruction and transatrial two patch repair of the atrioventricular septal defect. Ten patients required a transannular patch and one patient had a right ventricle-pulmonary artery conduit placed. There was no hospital mortality, and mean hospital stay was 15 days. One patient had late sudden death of unknown cause. Six patients have required reoperation because of residual ventricular septal defect (VSD), mitral incompetence, residual right ventricular outflow tract... (More)

Twenty patients had a repair of an atrioventricular septal defect with tetralogy of Fallot (n = 13) or double outlet right ventricle (n = 7). Mean age was 3.5 years. Surgical technique included transatrial-transpulmonary resection of right ventricular outflow tract obstruction and transatrial two patch repair of the atrioventricular septal defect. Ten patients required a transannular patch and one patient had a right ventricle-pulmonary artery conduit placed. There was no hospital mortality, and mean hospital stay was 15 days. One patient had late sudden death of unknown cause. Six patients have required reoperation because of residual ventricular septal defect (VSD), mitral incompetence, residual right ventricular outflow tract obstruction, and/or conduit stenosis. No patient was reoperated on because of left ventricular outflow tract obstruction. Fifteen patients are asymptomatic, one has exertional dyspnea, and two have intermittent occasional bronchospasm. The transatrial-transpulmonary two patch repair and extensive relief of right ventricular outflow tract obstruction have given good immediate results. Reoperation rate has been high mainly due to residual VSD and mitral incompetence.

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publication status
published
subject
keywords
Actuarial Analysis, Cardiac Surgical Procedures/methods, Child, Child, Preschool, Double Outlet Right Ventricle/mortality, Female, Follow-Up Studies, Heart Septal Defects/mortality, Humans, Infant, Male, Postoperative Complications, Reoperation, Survival Rate, Tetralogy of Fallot/mortality, Ventricular Outflow Obstruction/mortality
in
Journal of Cardiac Surgery
volume
8
issue
6
pages
6 pages
publisher
Futura Publishing Company
external identifiers
  • scopus:0027525331
  • pmid:8286866
ISSN
0886-0440
DOI
10.1111/j.1540-8191.1993.tb00421.x
language
English
LU publication?
no
id
f9cb978f-1192-4f39-aec8-ebc96701e6c3
date added to LUP
2018-12-05 15:29:33
date last changed
2019-01-06 14:18:45
@article{f9cb978f-1192-4f39-aec8-ebc96701e6c3,
  abstract     = {<p>Twenty patients had a repair of an atrioventricular septal defect with tetralogy of Fallot (n = 13) or double outlet right ventricle (n = 7). Mean age was 3.5 years. Surgical technique included transatrial-transpulmonary resection of right ventricular outflow tract obstruction and transatrial two patch repair of the atrioventricular septal defect. Ten patients required a transannular patch and one patient had a right ventricle-pulmonary artery conduit placed. There was no hospital mortality, and mean hospital stay was 15 days. One patient had late sudden death of unknown cause. Six patients have required reoperation because of residual ventricular septal defect (VSD), mitral incompetence, residual right ventricular outflow tract obstruction, and/or conduit stenosis. No patient was reoperated on because of left ventricular outflow tract obstruction. Fifteen patients are asymptomatic, one has exertional dyspnea, and two have intermittent occasional bronchospasm. The transatrial-transpulmonary two patch repair and extensive relief of right ventricular outflow tract obstruction have given good immediate results. Reoperation rate has been high mainly due to residual VSD and mitral incompetence.</p>},
  author       = {Malm, T and Karl, T R and Mee, R B},
  issn         = {0886-0440},
  language     = {eng},
  number       = {6},
  pages        = {7--622},
  publisher    = {Futura Publishing Company},
  series       = {Journal of Cardiac Surgery},
  title        = {Transatrial-transpulmonary repair of atrioventricular septal defect with right ventricular outflow tract obstruction},
  url          = {http://dx.doi.org/10.1111/j.1540-8191.1993.tb00421.x},
  doi          = {10.1111/j.1540-8191.1993.tb00421.x},
  volume       = {8},
  year         = {1993},
}