RT Journal Article
T1 Mitral valve repair in the atrio-ventricular septal defect
A1 Vera, Francisco
A1 Sarria, Esteban
A1 Ortiz, Almudena
A1 Garcia, Nora
A1 Conejo, Lourdes
A1 Ruiz, Enrique
K1 Atrioventricular septal defect
K1 Atrioventricular valve
K1 Valve repair
K1 Mitral valve
K1 Cleft
K1 Surgical-correction
K1 Complete form
K1 Regurgitation
AB Introduction and objectives: Complete atrio-ventricular septal defect accounts for 3% of congenital heart disease. Its prognosis depends on the status of the left atrio-ventricular valve after repair. We will analyse our results in terms of morbidity and mortality, and need for reoperation. Methods: Retrospective observational study, including patients who underwent a complete surgical correction of atrio-ventricular septal defect in our centre between January 2008 and July 2021. Results: 57 patients were treated. Median age and weight were 6 months and 5.8 kg respectively (inter quartile range 4-7 months and 4.8-6.7 kg). Inhospital mortality was 3 patients (5.3%). Of the patients, 7.2% required early reoperation to the left atrio-ventricular valve. Overall survival was 88.6% (median follow-up of 4.7 years; interquartile range: 1.5-10.9; complete follow-up in 93% of patients). Freedom from reoperation to the left atrioventricular valve was 83.7%. The left atrioventricular valve showed regurgitation lower than III / IV in 90.2% of the patients at the end of follow-up. Surgery before 3 months (p = .001), preoperative pulmonary hypertension (p = .007), and postoperative left atrio-ventricular valve stenosis (p = .001) were risk factors for mortality. Weight less than 4 kg (p
PB Elsevier
SN 1134-0096
YR 2022
FD 2022-06-05
LK http://hdl.handle.net/10668/22092
UL http://hdl.handle.net/10668/22092
LA en
DS RISalud
RD Apr 10, 2025