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Ann Thorac Surg 2001;72:430-432
© 2001 The Society of Thoracic Surgeons

Original article: cardiovascular

Direct closure of ostium primum defect in the repair of atrioventricular septal defect

Masahide Chikada, MDa, Akihiko Sekiguchi, MDa, Takashi Miyamoto, MDa, Mio Matsuzaki, MDa, Ryouichi Ishida, MDa, Akira Ishizawa, MDa

a Divisions of Cardiovascular Surgery and Cardiology, National Children’s Hospital, Tokyo, Japan

Accepted for publication May 1, 2001.

Address reprint requests to Dr Chikada, Division of Cardiovascular Surgery, National Children’s Hospital, 3-35-31 Taishido, Setagaya-ku, Tokyo, 154-8509, Japan
e-mail: chikada{at}nch.go.jp

Background. Patch closure is generally performed for atrial septation of an atrioventricular septal defect. We recently developed a new surgical technique for repairing atrioventricular septal defects that avoids the use of any patch material for closing the atrial septal defect. We report our experience with this procedure.

Methods. Seven patients (complete type: 5, partial type: 2) underwent this new operation. The diameters of the atrial septal defects were measured by transesophageal echocardiography. The preoperative electrocardiograms were compared with those taken after the operations.

Results. Diameters of the atrial defects ranged from 3 to 10 mm. Electrocardiograms before and after the operations did not change. No significant atrioventricular valve regurgitation and no residual shunts were detected by postoperative echocardiography.

Conclusions. This method simplifies the repair of atrioventricular septal defects. In the short-term results, no arrhythmia and no valve regurgitation was seen.


Related Article

Invited commentary
S. Bert Litwin
Ann. Thorac. Surg. 2001 72: 432-433. [Extract] [Full Text] [PDF]



This article has been cited by other articles:


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 J. Thorac. Cardiovasc. Surg.Home page
R. Pretre, H. Dave, A. Kadner, D. Bettex, and M. I. Turina
Direct closure of the septum primum in atrioventricular canal defects
J. Thorac. Cardiovasc. Surg., June 1, 2004; 127(6): 1678 - 1681.
[Abstract] [Full Text] [PDF]


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