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): Lior Sasson Michael G. Katz Edward L. Bove Arie Schachner Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Sasson, L. Articles by Schachner, A. Search for Related Content PubMed PubMed Citation Articles by Sasson, L. Articles by Schachner, A. Related Collections Congenital - acyanotic

Ann Thorac Surg 2006;82:958-963
© 2006 The Society of Thoracic Surgeons

---

Original article: Cardiovascular

Indications for Tricuspid Valve Detachment in Closure of Ventricular Septal Defect in Children

^a Angela & Sami Shamoon Cardiothoracic Department, Holon, Israel
^b Department of Anesthesia, Holon, Israel
^c Pediatric Cardiology Unit, The Edith Wolfson Medical Center, Holon, Israel, affiliated with the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
^d Save a Child's Heart, Azur, Israel
^e Outcomes Research Institute, University of Louisville, Kentucky
^f Department of Statistics, University of Haifa, Haifa, Israel
^g Section of Cardiac Surgery, University of Michigan School of Medicine, Ann Arbor, Michigan

Accepted for publication March 29, 2006.

^_* Address correspondence to Dr Schachner, Angela & Sami Shamoon Cardiothoracic Department, E. Wolfson Medical Center, PO Box 5, Holon, 58100 Israel (Email: dawn{at}wolfson.health.gov.il).

Presented at the Forty-second Annual Meeting of The Society of Thoracic Surgeons, Chicago, IL, Jan 30–Feb 1, 2006.

BACKGROUND: Different techniques have been described for tricuspid valve detachment to improve visualization in ventricular septal defect repair. Our hypothesis was that preoperative echocardiographic criteria are important in deciding which patients should undergo ventricular septal defect repair by tricuspid valve detachment, and patients who undergo this procedure may have a better surgical outcome than those who fulfilled the criteria but were actually operated on with the standard surgical approach.

METHODS: Between January 2000 and December 2004 we prospectively studied 179 patients scheduled for ventricular septal defect repair and criteria for tricuspid valve detachment were established. Of these, 84 patients did not have any criteria for tricuspid valve detachment and were classified as the control group (group 1). Ninety-five patients with at least one criterion for tricuspid valve detachment were intraoperatively divided by patients who underwent tricuspid valve detachment into group 2 (n = 41), and those who did not undergo tricuspid valve detachment into group 3 (n = 53).

RESULTS: Surgical complications occurred more frequently in group 3 (26%) as opposed to group 2 (10%) and group 1 (7%). Residual ventricular septal defect and atrioventricular block occurred only in group 3. Tricuspid regurgitation occurred in 15% of group 3 versus 9.8% of group 2 and 7.1% of group 1.

CONCLUSIONS: Preoperative criteria for tricuspid valve detachment can be established before repair of ventricular septal defect. Patients who had indications for tricuspid valve detachment who actually had detachment performed during repair had fewer postoperative surgical complications as opposed to patients who fulfilled the criteria but did not undergo detachment.

This article has been cited by other articles:

				E. M. Tucker, L. A. Pyles, J. L. Bass, and J. H. Moller Permanent Pacemaker for Atrioventricular Conduction Block After Operative Repair of Perimembranous Ventricular Septal Defect J. Am. Coll. Cardiol., September 18, 2007; 50(12): 1196 - 1200. [Abstract] [Full Text] [PDF]