Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/94140
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Repair of partial atrioventricular septal defect: a 37-year experience |
Author: | Buratto, E. McCrossan, B. Galati, J. Bullock, A. Kelly, A. d'Udekem, Y. Brizard, C. Konstantinov, I. |
Citation: | European Journal of Cardio-Thoracic Surgery, 2014; 47(5):796-802 |
Publisher: | Oxford University Press (OUP) |
Issue Date: | 2014 |
ISSN: | 1873-734X 1873-734X |
Statement of Responsibility: | Edward Buratto, Brian McCrossan, John C. Galati, Andrew Bullock, Andrew Kelly, Yves d' Udekema, Christian P. Brizard and Igor E. Konstantinov |
Abstract: | OBJECTIVES: Partial atrioventricular septal defect (pAVSD) is routinely repaired with a low mortality. However, limited data are available on the long-term follow-up of these patients. The current study was designed to determine long-term survival and morbidity of a large cohort of patients operated on at a single institution. METHODS: From 1975 to 2012, 249 consecutive patients underwent pAVSD repair at the Royal Children’s Hospital. The follow-up data were obtained from hospital records, correspondence with cardiologists and primary care physicians, patient surveys and the state death registry. RESULTS: The early mortality rate was 1.2% (3/249), while the long-term survival rate was 96% (95% CI: 93–98%) at 10 years and 94% (95% CI: 89–97%) at 30 years. Freedom from reoperation was 84% at 10 years and 75% at 30 years. The most common reoperations were left atrioventricular valve surgery (30/249, 12.1%), resection of left ventricular outflow tract obstruction (12/249, 4.8%) and closure of residual atrial septal defects (5/249, 2.0%). Implantation of a permanent pacemaker was required in 3.2% (8/249) of patients. Despite a substantial reoperation rate, only 43% of patients older than 18 years of age were seen by a cardiologist within the most recent 2 years of the study period, compared with 80% of those younger than 18 years (P < 0.001). CONCLUSIONS: Repair of pAVSD is performed with a low mortality and excellent long-term survival. However, a substantial reoperation rate warrants close follow-up into adulthood |
Keywords: | Humans Heart Septal Defects, Ventricular Postoperative Complications Cardiac Surgical Procedures Registries Survival Rate Retrospective Studies Follow-Up Studies Forecasting Adolescent Child Child, Preschool Infant New South Wales Female Male |
Rights: | © The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. |
DOI: | 10.1093/ejcts/ezu286 |
Published version: | http://dx.doi.org/10.1093/ejcts/ezu286 |
Appears in Collections: | Aurora harvest 2 Medicine publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.