[Surgical treatment of atrioventricular septal defect].
From April 1975 through November 1990, 184 patients with atrioventricular canal malformation defect were operated in our institute. Among them, 151 cases were partial form and 33 cases were complete form (including 7 cases associated with tetralogy of Fallot). Total mortality rate was 6.5%. 164 cases had been followed up for 3 months to 15 years. The results showed that 135 cases were in heart function of class I and 29 were in class II. To improve the results of surgical treatment of this cardiac anomaly, we consider the following points important: (1) Pathological anatomy of atrioventricular septal defect must be studied carefully. (2) The method of operation must be improved, including repairing ASD and VSD without damaging the conduction system and obstruction of the outlet of left ventricle, and without insufficiency of mitral valve as well. (3) Operation must be performed strictly according to the indications. (4) More attention must be given to the perioperative management.
Wang
Z W
ZW
Shenyang General Hospital, PLA.
D000293:Adolescent; D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods / Q000401:mortality; D002648:Child; D002675:Child, Preschool; D005260:Female; D006343:Heart Septal Defects / Q000401:mortality / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male