HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Eric L. Ceithaml Frank M. Midgley Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Ceithaml, E. L. Articles by Perry, L. W. Search for Related Content PubMed PubMed Citation Articles by Ceithaml, E. L. Articles by Perry, L. W.

Ann Thorac Surg 1989;48:413-416
© 1989 The Society of Thoracic Surgeons

---

Articles

Long-Term Results After Surgical Repair of Incomplete Endocardial Cushion Defects

Division of Cardiothoracic Surgery, University Hospital, and Department of Surgery, University of Florida College of Medicine, Jacksonville, Florida; Department of Cardiovascular Surgery, Children's Hospital National Medical Center, Washington, DC; and Department of Surgery and Department of Child Health and Development, George Washington University, Washington, DC

Accepted for publication June 12, 1989.

^* Address reprint requests to Dr Ceithaml, University Hospital of Jacksonville, 655 West 8th Street, Jacksonville, FL 32209

Since 1964, 56 children (mean age, 6.7 years) underwent repair of incomplete endocardial cushion defects. Forty patients had isolated ostium primum defects. Additional congenital defects were present in 17 patients (30%). All patients underwent patch closure of the ostium primum defect and 47 of 56 patients (84%) underwent mitral valvuloplasty. Hospital mortality was 1.8% (one death). Arrhythmias developed in 7 other patients in the early postoperative period, of which six were transient and resolved completely. One patient required early pacemaker placement for complete heart block. Cumulative follow-up was 378 patient-years. There were three late deaths (5.7%), and additional operations were required in 12 patients (22.6%). Seven of these 12 patients required mitral valve replacement for severe mitral regurgitation. The mean interval between initial repair and mitral valve replacement was 4.2 years, with only three valves needing replacement within 12 months. There was a significant correlation between the severity of mitral regurgitation before initial repair and subsequent need for mitral valve replacement. Late onset atrial arrhythmias have developed in 6 patients. Current functional status has been evaluated in 50 of 52 surviving patients and 88.5% are in NYHA class I, with the remainder in class II.

This article has been cited by other articles:

				J. M. Stulak, H. M. Burkhart, J. A. Dearani, F. Cetta, R. D. Barnes, H. M. Connolly, and H. V. Schaff Reoperations After Repair of Partial Atrioventricular Septal Defect: A 45-Year Single-Center Experience Ann. Thorac. Surg., May 1, 2010; 89(5): 1352 - 1359. [Abstract] [Full Text] [PDF]

				K. F. Welke, C. D. Morris, E. King, C. Komanapalli, M. D. Reller, and R. M. Ungerleider Population-Based Perspective of Long-Term Outcomes After Surgical Repair of Partial Atrioventricular Septal Defect Ann. Thorac. Surg., August 1, 2007; 84(2): 624 - 629. [Abstract] [Full Text] [PDF]

				S. Aubert, R. Henaine, O. Raisky, N. Chavanis, J. Robin, R. Ecochard, and J. Ninet Atypical forms of isolated partial atrioventricular septal defect increase the risk of initial valve replacement and reoperation Eur J Cardiothorac Surg, August 1, 2005; 28(2): 223 - 228. [Abstract] [Full Text] [PDF]

				A. A. A. Al-Hay, C. R. Lincoln, D. F. Shore, and E. A. Shinebourne The left atrioventricular valve in partial atrioventricular septal defect: management strategy and surgical outcome Eur J Cardiothorac Surg, October 1, 2004; 26(4): 754 - 761. [Abstract] [Full Text] [PDF]

				T. Murashita, T. Kubota, J.-i. Oba, T. Aoki, J. Matano, and K. Yasuda Left atrioventricular valve regurgitation after repair of incomplete atrioventricular septal defect Ann. Thorac. Surg., June 1, 2004; 77(6): 2157 - 2162. [Abstract] [Full Text] [PDF]

				K. Kirali, D. Mansuroglu, Y. Ozen, N. U. Bozbuga, A. Tuncer, M. E. Toker, M. Sismanoglu, and C. Yakut Mitral Clefts and Interatrial Septum Defects: 15-Year Results Asian Cardiovasc Thorac Ann, June 1, 2003; 11(2): 135 - 138. [Abstract] [Full Text] [PDF]

				E. K. El-Najdawi, D. J. Driscoll, F. J. Puga, J. A. Dearani, B. E. Spotts, D. W. Mahoney, and G. K. Danielson Operation for partial atrioventricular septal defect: a forty-year review J. Thorac. Cardiovasc. Surg., May 1, 2000; 119(5): 880 - 889. [Abstract] [Full Text] [PDF]

				E. Kuralay, E. Ozal, U. Demirkilic, F. Cingoz, and H. Tatar Left atrioventricular valve repair technique in partial atrioventricular septal defects Ann. Thorac. Surg., November 1, 1999; 68(5): 1746 - 1750. [Abstract] [Full Text] [PDF]

				H. K. Najm, W. G. Williams, S. Chuaratanaphong, S. B. Watzka, J. G. Coles, and R. M. Freedom Primum atrial septal defect in children: early results, risk factors, and freedom from reoperation Ann. Thorac. Surg., September 1, 1998; 66(3): 829 - 835. [Abstract] [Full Text] [PDF]

				A. Giamberti, B. Marino, D. di Carlo, F. S. Iorio, R. Formigari, A. De Zorzi, and C. Marcelletti Partial Atrioventricular Canal With Congestive Heart Failure in the First Year of Life: Surgical Options Ann. Thorac. Surg., July 1, 1996; 62(1): 151 - 154. [Abstract] [Full Text]

				G. S. Van Arsdell, W. G. Williams, C. Boutin, G. A. Trusler, J. G. Coles, I. M. Rebeyka, and R. M. Freedom SUBAORTIC STENOSIS IN THE SPECTRUM OF ATRIOVENTRICULAR SEPTAL DEFECTSSolutions may be complex and palliative J. Thorac. Cardiovasc. Surg., November 1, 1995; 110(5): 1534 - 1542. [Abstract] [Full Text]

				A. Starr and H. Hovaguimian Surgical repair of subaortic stenosis in atrioventricular canal defects J. Thorac. Cardiovasc. Surg., August 1, 1994; 108(2): 373 - 376. [Abstract] [Full Text]