Play safe: band the late presenting complete atrioventricular canal.
Primary repair of complete atrioventricular canal in patients who present beyond one year of age carries a high mortality. Between January 1995 and February 2000, 16 patients aged 8 to 24 months (mean, 14.5 months) received pulmonary artery banding at presentation and underwent total correction at 24 to 96 months old (mean, 41.9 months). There was one hospital death (mortality, 6.25%). During a mean follow-up of 10.2 months (range, 6 to 28 months), there was no late death, 13 of the 15 survivors (87%) were in New York Heart Association functional class I, and 2 (13%) were in class III. In patients with complete atrioventricular canal who present late with severe reactive pulmonary hypertension, banding followed by complete repair reduces the risk associated with primary repair.
Al Qethamy
Howaida O
HO
Department of Cardiac Surgery, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia.
Aboelnazar
Saber
S
Aizaz
Khawar
K
Al Faraidi
Yahya
Y
D001794:Blood Pressure; D006348:Cardiac Surgical Procedures; D017023:Coronary Angiography; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000503:physiopathology