Partial and intermediate atrioventricular septal defects without major associated cardiac anomalies.
Partial and intermediate atrioventricular septal defects (p-i AVSDs) constitute approximately 20-40% of all AVSDs. Children with p-i AVSDs are usually asymptomatic and typically undergo surgery at the preschool age or earlier if the signs of heart failure have developed. Surgical treatment for repair of p-i AVSDs has been successful for more than 60 years and is mainly directed towards closing septal defects, and maintaining or creating competent, non-stenotic left and/or right atrioventricular valves. By most measures, the outcomes of surgical management of p-i AVSDs have improved over the last 5 decades. In spite of significantly reduced mortality, the need for reoperation and long-term morbidity remains an issue in some patients from this population. The purpose of this article is to review current options and outcomes concerning the surgical management of the p-AVSD and i-AVSD variants without major associated cardiac malformations.
Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, Netherlands p.sfyridis@lumc.nl.
Panagiotis
P
Sfyridis
Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, Netherlands.
Vladimir
V
Sojak
Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, Netherlands.
Mark
M
Hazekamp
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D006343:Heart Septal Defects / Q000601:surgery*; D006351:Heart Valves / Q000002:abnormalities / Q000601:surgery*; D006352:Heart Ventricles / Q000002:abnormalities / Q000601:surgery*; D006801:Humans; D007223:Infant; D008875:Middle Aged; D012086:Reoperation; D016896:Treatment Outcome; D055815:Young Adult
Partial and intermediate atrioventricular septal defect