Factors associated with moderate or severe left atrioventricular valve regurgitation within 30 days of repair of complete atrioventricular septal defect
AbstractIntroduction:Left atrioventricular valve regurgitation is the most concerning residual lesion after surgical correction of atrioventricular septal defects.Objective:To determine factors associated with moderate or severe left atrioventricular valve regurgitation within 30 days of surgical re...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
2015-09-01
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| Series: | Brazilian Journal of Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000300005&lng=en&tlng=en |
| _version_ | 1818232025697484800 |
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| author | Marcelo Felipe Kozak Ana Carolina Leiroz Ferreira Botelho Maisano Kozak Carlos Henrique De Marchi Sirio Hassem Sobrinho Junior Ulisses Alexandre Croti Airton Camacho Moscardini |
| author_facet | Marcelo Felipe Kozak Ana Carolina Leiroz Ferreira Botelho Maisano Kozak Carlos Henrique De Marchi Sirio Hassem Sobrinho Junior Ulisses Alexandre Croti Airton Camacho Moscardini |
| author_sort | Marcelo Felipe Kozak |
| collection | DOAJ |
| description | AbstractIntroduction:Left atrioventricular valve regurgitation is the most concerning residual lesion after surgical correction of atrioventricular septal defects.Objective:To determine factors associated with moderate or severe left atrioventricular valve regurgitation within 30 days of surgical repair of complete atrioventricular septal defect.Methods:We assessed the results of 53 consecutive patients 3 years-old and younger presenting with complete atrioventricular septal defect that were operated on at our practice between 2002 and 2010. The following variables were considered: age, weight, absence of Down syndrome, grade of preoperative atrioventricular valve regurgitation, abnormalities on the left atrioventricular valve and the use of annuloplasty. Median age was 6.7 months; median weight was 5.3 Kg; 86.8% had Down syndrome. At the time of preoperative evaluation, there were 26 cases with moderate or severe left atrioventricular valve regurgitation (49.1%). Abnormalities on the left atrioventricular valve were found in 11.3%; annuloplasty was performed in 34% of the patients.Results:At the time of postoperative evaluation, there were 21 cases with moderate or severe left atrioventricular valve regurgitation (39.6%). After performing a multivariate analysis, the only significant factor associated with moderate or severe left atrioventricular valve regurgitation was the absence of Down syndrome (P=0.03).Conclusion:Absence of Down syndrome was associated with moderate or severe postoperative left atrioventricular valve regurgitation after surgical repair of complete atrioventricular septal defect at our practice. |
| first_indexed | 2024-12-12T10:59:44Z |
| format | Article |
| id | doaj.art-921d305b9bc64647a910250ea1f75f69 |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-12-12T10:59:44Z |
| publishDate | 2015-09-01 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-921d305b9bc64647a910250ea1f75f692022-12-22T00:26:35ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-97412015-09-0130330431010.5935/1678-9741.20150036S0102-76382015000300005Factors associated with moderate or severe left atrioventricular valve regurgitation within 30 days of repair of complete atrioventricular septal defectMarcelo Felipe KozakAna Carolina Leiroz Ferreira Botelho Maisano KozakCarlos Henrique De MarchiSirio Hassem Sobrinho JuniorUlisses Alexandre CrotiAirton Camacho MoscardiniAbstractIntroduction:Left atrioventricular valve regurgitation is the most concerning residual lesion after surgical correction of atrioventricular septal defects.Objective:To determine factors associated with moderate or severe left atrioventricular valve regurgitation within 30 days of surgical repair of complete atrioventricular septal defect.Methods:We assessed the results of 53 consecutive patients 3 years-old and younger presenting with complete atrioventricular septal defect that were operated on at our practice between 2002 and 2010. The following variables were considered: age, weight, absence of Down syndrome, grade of preoperative atrioventricular valve regurgitation, abnormalities on the left atrioventricular valve and the use of annuloplasty. Median age was 6.7 months; median weight was 5.3 Kg; 86.8% had Down syndrome. At the time of preoperative evaluation, there were 26 cases with moderate or severe left atrioventricular valve regurgitation (49.1%). Abnormalities on the left atrioventricular valve were found in 11.3%; annuloplasty was performed in 34% of the patients.Results:At the time of postoperative evaluation, there were 21 cases with moderate or severe left atrioventricular valve regurgitation (39.6%). After performing a multivariate analysis, the only significant factor associated with moderate or severe left atrioventricular valve regurgitation was the absence of Down syndrome (P=0.03).Conclusion:Absence of Down syndrome was associated with moderate or severe postoperative left atrioventricular valve regurgitation after surgical repair of complete atrioventricular septal defect at our practice.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000300005&lng=en&tlng=enCoxins EndocárdicosInsuficiência da Valva MitralPeríodo Pós-Operatório |
| spellingShingle | Marcelo Felipe Kozak Ana Carolina Leiroz Ferreira Botelho Maisano Kozak Carlos Henrique De Marchi Sirio Hassem Sobrinho Junior Ulisses Alexandre Croti Airton Camacho Moscardini Factors associated with moderate or severe left atrioventricular valve regurgitation within 30 days of repair of complete atrioventricular septal defect Brazilian Journal of Cardiovascular Surgery Coxins Endocárdicos Insuficiência da Valva Mitral Período Pós-Operatório |
| title | Factors associated with moderate or severe left atrioventricular valve regurgitation within 30 days of repair of complete atrioventricular septal defect |
| title_full | Factors associated with moderate or severe left atrioventricular valve regurgitation within 30 days of repair of complete atrioventricular septal defect |
| title_fullStr | Factors associated with moderate or severe left atrioventricular valve regurgitation within 30 days of repair of complete atrioventricular septal defect |
| title_full_unstemmed | Factors associated with moderate or severe left atrioventricular valve regurgitation within 30 days of repair of complete atrioventricular septal defect |
| title_short | Factors associated with moderate or severe left atrioventricular valve regurgitation within 30 days of repair of complete atrioventricular septal defect |
| title_sort | factors associated with moderate or severe left atrioventricular valve regurgitation within 30 days of repair of complete atrioventricular septal defect |
| topic | Coxins Endocárdicos Insuficiência da Valva Mitral Período Pós-Operatório |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000300005&lng=en&tlng=en |
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