Long-term results following atrioventricular septal defect repair

Journal of Cardiothoracic Surgery

Research

Martin Kostelka¹  Katja Schumacher¹  Marcel Vollroth¹  Mateo Marin Cuartas¹  Sabine Meier¹  Muhammed Ikbal Aydin¹  Michael Andrew Borger¹  Ingo Dähnert² 

[1] Department of Cardiac Surgery, University, Leipzig Heart Center, Strümpellstrasse 39, 04289, Leipzig, Germany;Department of Pediatric Cardiology, Leipzig Heart Center, Leipzig, Germany;

关键词: Atrioventricular septal defect;    AVSD;    Pediatric cardiac surgery;    Complete AV canal;    Congenital heart disease;    Freedom from reoperation;    Long-term results;   

DOI  :  10.1186/s13019-023-02355-6

 received in 2023-02-04, accepted in 2023-08-09,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundAtrioventricular septal defects (AVSD) represent 4–7% of congenital cardiac malformations. Definitive early repair is favored over prior pulmonary artery banding and delayed definitive repair in many centers. The aim of this study was to analyze long-term outcomes following AVSD repair over a 21-year period.MethodsA total of 202 consecutive patients underwent surgical AVSD correction between June 1999 and December 2020. Surgery was performed using the double-patch technique. The study data were prospectively collected and retrospectively analyzed. Primary outcomes were In-hospital mortality and overall long-term freedom from reoperation.ResultsMedian age at operation was 120 days (IQR 94–150), median weight was 5.0 kg (4.2–5.3). None of the patients died within the first 30 postoperative days. In-hospital mortality was 0.5% (1/202 patients). Median follow-up was 57 months (11–121). Overall freedom from reoperation at 5, 10 and 15 years was 91.8%, 86.9% and 86.9%, respectively.ConclusionAVSD repair with the double-patch technique is a safe and effective procedure with good early postoperative outcomes and low long-term reoperation rates.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

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