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

This Article Full Text Full Text (PDF) 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): Yoshihiro Oshima Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Oshima, Y. Articles by Ootaki, Y. Search for Related Content PubMed PubMed Citation Articles by Oshima, Y. Articles by Ootaki, Y. Related Collections Congenital - cyanotic

Ann Thorac Surg 2001;72:424-429
© 2001 The Society of Thoracic Surgeons

---

Original article: cardiovascular

Anatomically corrective repair of complete atrioventricular septal defects and major cardiac anomalies

^a Department of Cardiothoracic Surgery, Kobe Children’s Hospital, Kobe, Japan

Accepted for publication March 27, 2001.

Address reprint requests to Dr Oshima, Toyama Medical and Pharmaceutical University, 2630 Sugitani, Toyama, 930-0194, Japan
e-mail: oshima{at}ms.toyama-mpu.ac.jp

Background. Although satisfactory results of corrective surgery for atrioventricular septal defects (AVSDs) with complex lesions such as double-outlet right ventricle (DORV) or atrial isomerism have been reported in recent years, the optimal surgical options for isomerism hearts is still a controversial issue.

Methods. We performed anatomically corrective repair on 13 children with balanced forms of complete AVSDs and associated major cardiac anomalies. Eight of the 13 patients had atrial isomerism (right in 1, left in 7), 5 of whom had DORV. Four others had DORV with trisomy 21, and 1 had tetralogy of Fallot. Atrial septation for isomerism with the placement of an additional prosthesis was performed on 4 patients.

Results. Two hospital deaths and one late death occurred only in the isomerism group. Three reoperations were required solely in the left isomerism group: one replacement of the valved external conduit concomitantly with reconstruction of the left ventricular outflow obstruction, one mitral valve replacement for severe regurgitation of left atrioventricular valve, and one relief of progressing left ventricular outflow obstruction.

Conclusions. The results of anatomically corrective surgery for AVSDs with major associated cardiac anomalies in the nonisomerism group were excellent. The optimal surgical options for isomerism heart, however, remain a controversial issue.

This article has been cited by other articles:

				D Obler, A L Juraszek, L B Smoot, and M R Natowicz Double outlet right ventricle: aetiologies and associations J. Med. Genet., August 1, 2008; 45(8): 481 - 497. [Abstract] [Full Text] [PDF]

				T.-J. Yun, O. O. Al-Radi, I. Adatia, C. A. Caldarone, J. G. Coles, W. G. Williams, J. Smallhorn, and G. S. Van Arsdell Contemporary management of right atrial isomerism: Effect of evolving therapeutic strategies J. Thorac. Cardiovasc. Surg., May 1, 2006; 131(5): 1108 - 1113. [Abstract] [Full Text] [PDF]

				N. Yoshimura, M. Yamaguchi, S. Oka, M. Yoshida, and H. Murakami Pulmonary Artery Banding Still Has an Important Role in the Treatment of Congenital Heart Disease Ann. Thorac. Surg., April 1, 2005; 79(4): 1463 - 1463. [Full Text] [PDF]