Factors associated with moderate or severe left atrioventricular valve regurgitation within 30 days of repair of complete atrioventricular septal defect

Revista Brasileira de Cirurgia Cardiovascular

Marcelo Felipe Kozak¹  Ana Carolina Leiroz Ferreira Botelho Maisano Kozak¹  Carlos Henrique De Marchi¹  Sirio Hassem Sobrinho Junior¹  Ulisses Alexandre Croti¹  Airton Camacho Moscardini¹ 

关键词: Endocardial Cushion Defects;    Mitral Valve Insufficiency;    Postoperative Period;    Coxins Endocárdicos;    Insuficiência da Valva Mitral;    Período Pós-Operatório;   

DOI  :  10.5935/1678-9741.20150036

来源: SciELO

【 摘 要 】

AbstractIntroduction:Left atrioventricular valve regurgitation is the most concerning residual lesion after surgical correction of atrioventricular septal defects.Objective:To determine factors associated with moderate or severe left atrioventricular valve regurgitation within 30 days of surgical repair of complete atrioventricular septal defect.Methods:We assessed the results of 53 consecutive patients 3 years-old and younger presenting with complete atrioventricular septal defect that were operated on at our practice between 2002 and 2010. The following variables were considered: age, weight, absence of Down syndrome, grade of preoperative atrioventricular valve regurgitation, abnormalities on the left atrioventricular valve and the use of annuloplasty. Median age was 6.7 months; median weight was 5.3 Kg; 86.8% had Down syndrome. At the time of preoperative evaluation, there were 26 cases with moderate or severe left atrioventricular valve regurgitation (49.1%). Abnormalities on the left atrioventricular valve were found in 11.3%; annuloplasty was performed in 34% of the patients.Results:At the time of postoperative evaluation, there were 21 cases with moderate or severe left atrioventricular valve regurgitation (39.6%). After performing a multivariate analysis, the only significant factor associated with moderate or severe left atrioventricular valve regurgitation was the absence of Down syndrome (P=0.03).Conclusion:Absence of Down syndrome was associated with moderate or severe postoperative left atrioventricular valve regurgitation after surgical repair of complete atrioventricular septal defect at our practice.

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