Buradasınız

Anasayfa » Content

Komplet Atriyoventriküler Septal Defektlerdeki Cerrahi Sonuçlarımız

Our Surgical Outcomes in Complete Atrioventricular Septal Defects

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Our surgical results have been reported after repair of complete atrioventricular septal defects (CAVSD). Between 2001 and 2009, 29 patients with CAVSD underwent operation at our institution. Double patch repair of CAVSD were performed in all patients. All attempts to close the cleft of the left atrioventricular valve (LAVV) were conducted as completely as possible. Early mortality occurred in three cases (% 10.3) after repair. Twenty patients could be followed-up for a mean of 3.5 years. Reoperation wasn’t needed for LAVV insufficiency, residual atrial septal defect or ventricular septal defect. Repair for CAVSD can be performed in early infancy. The double - patch repair in a safe surgical method that can achieve low mortality and good midterm outcomes.
Bookmark/Search this post with
Abstract (Original Language): 
Komplet atriyoventriküler septal defektlerin (KAVSD) tamirinden sonra, cerrahi sonuçlarımız bildirildi. Kliniğimizde, 2001 - 2009 yılları arasında, 29 hasta KAVSD tanısıyla operasyona alındı. Kardiyak tamirde çift yama tekniği kullanıldı. Sol atrioventriküler (AV) kapaktaki klefti kapatmak için tüm girişimler mümkün olduğu kadar tam yürütüldü. Tamirden sonra erken mortalite 3 hastada (%10.3) gelişti. Yirmi hasta ortalama 3.5 yıl süreyle takip edildi. Sol AV kapak yetmezliği, rezidü atriyal septal defekt (ASD) ve ventriküler septal defekt (VSD) için tekrar cerrahi gereksinim olmadı. KAVSD için tamir, erken bebeklik döneminde yapılabilir. İki yama tekniği düşük mortalite oranına ve iyi-orta dönem sonuçlara sahip, güvenilir bir cerrahi yöntemdir.
FULL TEXT (PDF): 
PDF icon arastirmax-komplet-atriyoventrikuler-septal-defektlerdeki-cerrahi-sonuclarimiz.pdf
  • 1
24-26
  • Turkish

REFERENCES

References: 

1. Backer CL, Mavroudis C. Atrioventricular Canal Defects. In:
Mavroudis C, Backer CL. editors. Pediatric Cardiac Surgery.
3rd edition, Philadelphia: Mosby; 2003. p. 321-38.
2. Dodge - Khatami A, Herger S, Rousson V, Comber M, Knirsch
W, Bauersfeld U, et al. Outcomes and reoperations after total
correction of complete atrio-ventricular septal defect Eur J
Cardiothorac Surg 2008;34(4):745-50.
3. Ono M, Goerler H, Boethig D, Bertman H, Westhoff-Bleck M,
Haverich A, et al. Improved results after repair of complete
atrioventricular septal defect. J Card Surg 2009; 24(6):732-37.
4. Lange R, Guenther T, Busch R, Hess J, Schreiber C . The
presence of Down Syndrome is not a risk factor in complete
atrioventricular septal defect repair. J Thorac Cardiovasc Surg
2007;134(2):304-10.
5. Stulak JM, Burkhart HM, Dearani JA, Schaff HV, Cetta
F, Barnes RD, et al. Reoperations after initial repair of
complete atrioventricular septal defect. Ann Thoracic Surg
2009;87(6):1872-8.
6. Alsoufi B, Al-Halees Z, Khouqeer F, Canver CC, Siblini G,
Saad E, et al. Results of left atrioventricular valve reoperations
following previous repair of atrioventricular septal defects. J
Card Surg 2010;25(1):74-8.
7. Malhotra SP, Lacour - Gayet F, Mitchell MB, Clarke DR, Dines
ML, Campbell DN. Reoperation for left atrioventricular valve
regurgitation after atrioventricular septal defect repair. Ann
Thorac Surg 2008;86(1):147-52.
8. Birim O, van Gameren M, de Jong PL, Witsenburg M, van
Osch – Gevers L, Bogers AJ. Outcome after reoperation for
atrioventricular septal defect repair. Intract Cardiovasc Thorac
Surg 2009;9(1):83-7.
9. Alayunt EA, Atay Y. Atrioventriküler Septal Defektler. In: Paç
M, Akçevin A, editors. Kalp ve Damar Cerrahisi. Ankara: Nobel
Tıp Kitabevleri; 2004. p. 1441-52.
10. Açıkel Ü, Yürekli İ. Atrioventriküler Septal Defektler. In: Enver
D. editors. Kalp ve Damar Cerrahisi. Edirne: Çapa Tıp Kitabevi;
2004. p. 368-76.
11. Halit V, Oktar GL, Imren VY, Iriz E, Erer D, Kula S, et al.
Traditional single patch versus the “Australian” technique for
repair of complete atrioventricular canal defects. Surg Today
2008;38(11):999-1003.
12. Erek E, Yalçınbaş YK, Türkeluk Y, Salihoğlu E, Soykan B,
Saygılı A, ve ark. Atriyoventriküler septal defekt tedavisinde
cerrahi yaklaşımların ve erken ve orta dönem sonuçların
değerlendirilmesi. Türk Kardiyol Dern Arş 2008;36:168-74.
13. Enç Y, Aydemir NA, Ayoğlu U, Yalçın Y, Polat TB, Özay B, ve ark. 26
Yeniterzi ve ark. Selçuk Üniv Tıp Dergisi
Komplet atriyoventriküler septal defekt onarımı: Basitleştirilmiş
tek yama mı, çift yama mı? Türk Göğüs Kalp Damar Cer Derg
2007;15(3):207-11.
14. Bando K, Turentine MW, Sun K, Sharp TG, Ensing GJ, Miller
AP, et al. Surgical management of complete atrioventricular
septal defects: A Twenty-year experience. J Thorac Cardiovasc
Surg 1995;110:1543-54.
15. Crawford FA, Stroud MR. Surgical repair of complete
atrioventricular septal defect. Ann Thorac Surg 2001;72:1621-
9.
16. Poirier NC, Williams WG, Arsdell GS, Coles JG, Smallhorn JF,
Omran A, et al. A novel repair for patients with atrioventricular
septal defect requiring reoperation for left atrioventricular
valve regurgitation. Eur J Cardiothorac Surg 2000;18:54-61.
17. Reddy VM, Mc Elhinney DB, Brook MM, Parry AJ, Hanley
FL. Atrioventricular valve function after single patch repair
of complete atrioventricular septal defect in infancy: How
early should repair be attempted? J Thorac Cardiovasc Surg
1998;115(5):1032-40.
18. Backer CL, Stewart RD, Bailliard F, Kelle AM, Webb CL,
Mavroudis C. Complete atrioventricular canal: Comparison of
modified single-patch technique with two-patch tecnique. Ann
Thorac Surg 2007;84(6):2038-46.
19. Jeong IS, Lee CH, Lee C, Lim HG, Kim IS, Youn HC, et al.
Surgical outcomes of the modified single-patch tecnique in
complete atrioventricular septal defect. Interact Cardiovasc
Thorac Surg 2009;8(4):435-38.
20. Suzuki K, Yamahi S, Mimori S, Murakami Y, Mori K, Takahashi
Y, et al. Pulmonary vascular discase in Down’s Syndrome
with complete atrioventricular septal defect. Am J Cardiol
2000;86(4):434-37.
21. Prifti E, Bonacchi M, Bernabei M, Crucean A, Murzi B,
Bartolozzi F, et al. Repair of complete atrioventricular septal
defects in patients weighing less than 5 kg. Ann Thorac Surg
2004;77(5):1717-26.
22. Boening A, Scheewe J, Heine K, Hedderich J, Regensburger
D, Kramer HH, et al. Longterm results after surgical correction
of atrioventricular septal defects. Eur J Cardiothorac Surg
2002;22(2):167-73.
23. Formigari R, Di Donato RM, Gargiulo G, Di Carlo D, Feltri C,
Picchio FM, et al. Better surgical prognosis for patients with
complete atrioventricular septal defect and Down’s Syndrome.
Ann Thorac Surg 2004;78(2):666-72

Thank you for copying data from http://www.arastirmax.com