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https://hdl.handle.net/2440/94140
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dc.contributor.author | Buratto, E. | - |
dc.contributor.author | McCrossan, B. | - |
dc.contributor.author | Galati, J. | - |
dc.contributor.author | Bullock, A. | - |
dc.contributor.author | Kelly, A. | - |
dc.contributor.author | d'Udekem, Y. | - |
dc.contributor.author | Brizard, C. | - |
dc.contributor.author | Konstantinov, I. | - |
dc.date.issued | 2014 | - |
dc.identifier.citation | European Journal of Cardio-Thoracic Surgery, 2014; 47(5):796-802 | - |
dc.identifier.issn | 1873-734X | - |
dc.identifier.issn | 1873-734X | - |
dc.identifier.uri | http://hdl.handle.net/2440/94140 | - |
dc.description.abstract | OBJECTIVES: Partial atrioventricular septal defect (pAVSD) is routinely repaired with a low mortality. However, limited data are available on the long-term follow-up of these patients. The current study was designed to determine long-term survival and morbidity of a large cohort of patients operated on at a single institution. METHODS: From 1975 to 2012, 249 consecutive patients underwent pAVSD repair at the Royal Children’s Hospital. The follow-up data were obtained from hospital records, correspondence with cardiologists and primary care physicians, patient surveys and the state death registry. RESULTS: The early mortality rate was 1.2% (3/249), while the long-term survival rate was 96% (95% CI: 93–98%) at 10 years and 94% (95% CI: 89–97%) at 30 years. Freedom from reoperation was 84% at 10 years and 75% at 30 years. The most common reoperations were left atrioventricular valve surgery (30/249, 12.1%), resection of left ventricular outflow tract obstruction (12/249, 4.8%) and closure of residual atrial septal defects (5/249, 2.0%). Implantation of a permanent pacemaker was required in 3.2% (8/249) of patients. Despite a substantial reoperation rate, only 43% of patients older than 18 years of age were seen by a cardiologist within the most recent 2 years of the study period, compared with 80% of those younger than 18 years (P < 0.001). CONCLUSIONS: Repair of pAVSD is performed with a low mortality and excellent long-term survival. However, a substantial reoperation rate warrants close follow-up into adulthood | - |
dc.description.statementofresponsibility | Edward Buratto, Brian McCrossan, John C. Galati, Andrew Bullock, Andrew Kelly, Yves d' Udekema, Christian P. Brizard and Igor E. Konstantinov | - |
dc.language.iso | en | - |
dc.publisher | Oxford University Press (OUP) | - |
dc.rights | © The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. | - |
dc.source.uri | http://dx.doi.org/10.1093/ejcts/ezu286 | - |
dc.subject | Humans | - |
dc.subject | Heart Septal Defects, Ventricular | - |
dc.subject | Postoperative Complications | - |
dc.subject | Cardiac Surgical Procedures | - |
dc.subject | Registries | - |
dc.subject | Survival Rate | - |
dc.subject | Retrospective Studies | - |
dc.subject | Follow-Up Studies | - |
dc.subject | Forecasting | - |
dc.subject | Adolescent | - |
dc.subject | Child | - |
dc.subject | Child, Preschool | - |
dc.subject | Infant | - |
dc.subject | New South Wales | - |
dc.subject | Female | - |
dc.subject | Male | - |
dc.title | Repair of partial atrioventricular septal defect: a 37-year experience | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1093/ejcts/ezu286 | - |
pubs.publication-status | Published | - |
Appears in Collections: | Aurora harvest 2 Medicine publications |
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