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• W2085321764 abstract "Evaluar nuestra experiencia quirúrgica y pronóstico postoperatorio en la cirugía de canal auriculoventricular en 10 años. Desde mayo del 2003 hasta octubre del 2013 se recogieron retrospectivamente 91 pacientes consecutivos intervenidos de canal auriculoventricular. Diez pacientes con formas disbalanceadas se manejaron inicialmente con banding de arteria pulmonar y reparación biventricular en un segundo tiempo. Los objetivos primarios fueron mortalidad y reintervención hospitalaria y a largo plazo. La mortalidad global fue del 3,30% (n = 3). La mortalidad hospitalaria fue del 1,10% (n = 1) y la mortalidad a largo plazo del 2,20% (n = 2). La reintervención global fue del 11% (n = 10). La causa más frecuente de reintervención fue la insuficiencia de la válvula auriculoventricular izquierda moderada-severa. La supervivencia global a 10 años fue del 96,70%. La supervivencia en el subgrupo de disbalanceados fue del 100%. La libertad de reintervención a largo plazo global a 10 años fue del 89%. Los pacientes con síndrome de Down tuvieron una tendencia a menor necesidad de reintervención a largo plazo. La reparación del canal auriculoventricular puede llevarse a cabo con buenos resultados a medio y largo plazo. El síndrome de Down podría actuar como factor protector en la reintervención por insuficiencia auriculoventricular izquierda. Las técnicas paliativas podrían tener cabida en ventrículos disbalanceados no extremos para redirigirlos a la vía biventricular. The purpose of this study was to evaluate the surgical outcome of the atrioventricular septal defect in a single institution during the last 10 years (2003-2013) and to identify the risk factors associated with poor outcome. Data were retrospectively collected on 91 consecutive patients who underwent surgical correction for atrioventricular septal defect between May 2003 and October 2013 at our institution. There were 10 patients with borderline unbalanced forms of AVSD (0.19≤atrioventricular valve index≤0.39) that were repaired with a two-stage strategy. The overall mortality was 3.30% (n = 3). In-hospital mortality was 1.10% (n = 1), and late mortality was 2.20% (n = 2). The overall re-intervention was 11% (n = 10). Early reoperation was indicated in one patient. and late reoperation was required in 9 patients. Left atrioventricular valve regurgitation was the leading cause for re-intervention. The estimated overall survival at 10 years of follow-up for all patients was 96.70%. The estimated survival in the unbalanced group was 100%. The estimated freedom from late reoperation for all hospital survivors without an early reoperation was 89% at 10 years. Atrioventricular septal defect is optimally carried out with good mid-term outcome. However postoperative left atrioventricular valve regurgitation remains a matter of concern during follow-up. Down's syndrome could be a protective factor against this complication. Palliatives techniques may be useful in borderline unbalanced forms of AVSD in order to achieve a biventricular repair." @default.
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• W2085321764 date "2015-07-01" @default.
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• W2085321764 title "Experiencia de 10 años en la cirugía del canal auriculoventricular" @default.
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• W2085321764 doi "https://doi.org/10.1016/j.circv.2014.10.011" @default.
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