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Ann Thorac Surg 2000;69:S36-S43
© 2000 The Society of Thoracic Surgeons

Congenital Heart Surgery Nomenclature and Database Project: atrioventricular canal defect

^a Division of Thoracic and Cardiovascular Surgery, All Children’s Hospital, University of South Florida School of Medicine, St. Petersburg, Florida, USA
^b Division of Cardiovascular Surgery, Miami Children’s Hospital, Miami, Florida, USA
^c Division of Thoracic and Cardiovascular Surgery, Northwestern University Medical School, Chicago, Illinois, USA

Address reprint requests to Dr Jacobs, Divison of Thoracic and Cardiovascular Surgery, All Children’s Hospital, 603 Seventh St S, Suite 450, St. Petersburg, FL 33701
e-mail: jjacobs1{at}compuserve.com

Presented at the International Nomenclature and Database Conferences for Pediatric Cardiac Surgery, 1998–1999.

Abstract

The extant nomenclature for atrioventricular (AV) canal/atrioventricular septal defect is reviewed for the purpose of establishing a unified reporting system. The subject was debated and reviewed by members of the STS-Congenital Heart Surgery Database Committee and representatives from the European Association for Cardiothoracic Surgery. All efforts were made to include all relevant nomenclature categories using synonyms where appropriate. The three general categories are: partial AV canal (ostium primum defect), transitional (intermediate) AV canal, and complete AV canal. A comprehensive database set is presented that is based on a hierarchical scheme. Data are entered at various levels of complexity and detail that can be determined by the clinician. These data can lay the foundation for comprehensive risk stratification analyses. A minimum database set is also presented that will allow for data sharing and would lend itself to basic interpretation of trends. Outcome tables relating diagnoses, procedures, and various risk factors are presented.

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