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[Surgical results of valvuloplasty for common atrioventricular valve regurgitation in single ventricle].
Kyobu Geka. 1995 Jul; 48(8):606-10.KG

Abstract

From 1988 through 1994, 18 patients who had common atrioventricular valve regurgitation associated with single ventricle underwent valvuloplasty. All patients had isomerism heart (right isomerism: 16, left isomerism: 2). The preoperative degree of regurgitation was 3.3 +/- 0.4 (Sellers). Valvuloplasty was performed by two different procedures. Semi-circular annuloplasty was used in nine patients. Dividing the common atrioventricular valve orifice into two parts (bivalvation) with or without annuloplasty was used in nine. The concomitant procedures varied: three patients underwent systemic pulmonary shunt, two underwent repair of total anomalous pulmonary venous drainage, one underwent pulmonary arterial banding, five underwent bidirectional Glenn, shunt, and four underwent Fontan operation. One early death and three late deaths have occurred. The early postoperative degree of regurgitation was reduced to 1.3 +/- 1.0. In nine patients, however, the degree of regurgitation increased late postoperatively. Seven patients were reoperated on because of regurgitation: three patients had valve replacement and four had reannuloplasty. Increased incidence of deterioration of regurgitation in late period was seen in patients under 2 years old and those receiving a concomitant Blalock shunt. Lower event-free rate after 2 years was seen in patients with double inlet right or indeterminate ventricle and those underwent the annuloplasty alone. We conclude that the dividing common atrioventricular valve orifice into two parts with annuloplasty could effectively reduce the regurgitation in most patients with isomerism heart, and the concomitant ventricular unloading operation seems to offer promise for improving long-term results.

Authors+Show Affiliations

Department of Cardiovascular Surgery, Children's Hospital Medical Center, Fukuoka, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

jpn

PubMed ID

7643492

Citation

Kado, H, et al. "[Surgical Results of Valvuloplasty for Common Atrioventricular Valve Regurgitation in Single Ventricle]." Kyobu Geka. the Japanese Journal of Thoracic Surgery, vol. 48, no. 8, 1995, pp. 606-10.
Kado H, Shiokawa Y, Asou T, et al. [Surgical results of valvuloplasty for common atrioventricular valve regurgitation in single ventricle]. Kyobu Geka. 1995;48(8):606-10.
Kado, H., Shiokawa, Y., Asou, T., Imoto, Y., Miyake, Y., Nakano, T., Yasuda, H., Imasaka, K., & Suzuki, M. (1995). [Surgical results of valvuloplasty for common atrioventricular valve regurgitation in single ventricle]. Kyobu Geka. the Japanese Journal of Thoracic Surgery, 48(8), 606-10.
Kado H, et al. [Surgical Results of Valvuloplasty for Common Atrioventricular Valve Regurgitation in Single Ventricle]. Kyobu Geka. 1995;48(8):606-10. PubMed PMID: 7643492.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Surgical results of valvuloplasty for common atrioventricular valve regurgitation in single ventricle]. AU - Kado,H, AU - Shiokawa,Y, AU - Asou,T, AU - Imoto,Y, AU - Miyake,Y, AU - Nakano,T, AU - Yasuda,H, AU - Imasaka,K, AU - Suzuki,M, PY - 1995/7/1/pubmed PY - 1995/7/1/medline PY - 1995/7/1/entrez SP - 606 EP - 10 JF - Kyobu geka. The Japanese journal of thoracic surgery JO - Kyobu Geka VL - 48 IS - 8 N2 - From 1988 through 1994, 18 patients who had common atrioventricular valve regurgitation associated with single ventricle underwent valvuloplasty. All patients had isomerism heart (right isomerism: 16, left isomerism: 2). The preoperative degree of regurgitation was 3.3 +/- 0.4 (Sellers). Valvuloplasty was performed by two different procedures. Semi-circular annuloplasty was used in nine patients. Dividing the common atrioventricular valve orifice into two parts (bivalvation) with or without annuloplasty was used in nine. The concomitant procedures varied: three patients underwent systemic pulmonary shunt, two underwent repair of total anomalous pulmonary venous drainage, one underwent pulmonary arterial banding, five underwent bidirectional Glenn, shunt, and four underwent Fontan operation. One early death and three late deaths have occurred. The early postoperative degree of regurgitation was reduced to 1.3 +/- 1.0. In nine patients, however, the degree of regurgitation increased late postoperatively. Seven patients were reoperated on because of regurgitation: three patients had valve replacement and four had reannuloplasty. Increased incidence of deterioration of regurgitation in late period was seen in patients under 2 years old and those receiving a concomitant Blalock shunt. Lower event-free rate after 2 years was seen in patients with double inlet right or indeterminate ventricle and those underwent the annuloplasty alone. We conclude that the dividing common atrioventricular valve orifice into two parts with annuloplasty could effectively reduce the regurgitation in most patients with isomerism heart, and the concomitant ventricular unloading operation seems to offer promise for improving long-term results. SN - 0021-5252 UR - https://www.unboundmedicine.com/medline/citation/7643492/[Surgical_results_of_valvuloplasty_for_common_atrioventricular_valve_regurgitation_in_single_ventricle]_ L2 - https://medlineplus.gov/heartvalvediseases.html DB - PRIME DP - Unbound Medicine ER -