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Long-term Follow-up of Partial Atrioventricular Septal Defect Repair in Adults
Section snippets
MATERIAL AND METHODS
Between February 1959 and 1984, eight adult patients with PAVS defects underwent operative repair. Their ages ranged from 31 to 65 years, with a mean of 48 years. The diagnosis was made using physical examination, electrocardiography, chest x-ray film, and cardiac catheterization in all cases. The average follow-up period was 13.4 years. Clinical data, cardiac catheterization results, operative findings, methods of repair, and postoperative information are summarized in Table 1.
All but one
RESULTS
Overall the patients improved symptomatically following operative repair an average of 1.5 NYHA functional classes. All but one patient improved postoperatively to NYHA functional class 1 or 2, including five of six patients who presented as NYHA functional class 3 or 4 (Fig 1).1
There was no hospital mortality among these eight patients. Postoperative complications were encountered in four patients. One patient went into complete heart block during the operative repair in 1959. His heart rate
DISCUSSION
Few cases of PAVS defects reach adulthood without diagnosis and surgical correction.2 Most larger series of patients with PAVS defects contain a few adult patients aged 30 years or older, but there is relatively little information regarding their long-term results.3, 4, 5, 6, 7, 8
In general, the prognosis of adult patients with surgically repaired PAVS defects has been extrapolated from children with repaired PAVS defects or from adults with other repaired ASDs.9, 10 Somerville11 reviewed the
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Anesthetic management of the adult patient with congenital heart disease
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2002, Journal of Cardiothoracic and Vascular AnesthesiaCitation Excerpt :Two patients with postoperative neurologic morbidity returned to their baseline neurologic status by the time of hospital discharge. Previous studies of congenital cardiac operations in teenagers and adults described long-term surgical follow-up, with few intraoperative details reported.6-14 Specifically, the anesthetic management of these patients has not been reviewed in a large series of patients.
Left atrioventricular valve repair technique in partial atrioventricular septal defects
1999, Annals of Thoracic Surgery
Manuscript received October 12; revision accepted February 9.