Play safe: band the late presenting complete atrioventricular canal.

Abstract

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.

• Authors: Howaida O Al Qethamy, Saber Aboelnazar, Khawar Aizaz, Yahya Al Faraidi
• Journal: Asian cardiovascular & thoracic annals (Asian Cardiovasc Thorac Ann) Vol. 10 Issue 1 Pg. 31-4 (Mar 2002) ISSN: 0218-4923 [Print] England
• PMID: 12079967 (Publication Type: Journal Article)

Topics

• Blood Pressure
• Cardiac Surgical Procedures
• Coronary Angiography
• Female
• Heart Defects, Congenital (surgery)
• Humans
• Infant
• Male
• Pulmonary Artery (physiopathology)