Can Left Atrioventricular Valve Reduction Index (LAVRI) Predict the Surgical Strategy for Repair of Atrioventricular Septal Defect?

Schleiger, Anastasia

Kramer, Peter

Schafstedde, Marie

Yigitbasi, Mustafa

Danne, Friederike

Murin, Peter

Cho, Mi-Young

Photiadis, Joachim

Berger, Felix

Ovroutski, Stanislav

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s00246-021-02558-5.pdf 1,12MB

Name

Value

Titel

Can Left Atrioventricular Valve Reduction Index (LAVRI) Predict the Surgical Strategy for Repair of Atrioventricular Septal Defect?

Autor/in

Erscheinungsjahr

2021

Publikationstyp

Artikel |

Online veröffentlicht

2021-02-12

Erschienen in

http://lobid.org/resources/99370674183706441#! |

Quellenangabe

42(4):898-905

Copyrightjahr

2021

Lizenz

https://creativecommons.org/licenses/by/4.0/ |

Verlagsversion

https://doi.org/10.1007/s00246-021-02558-5 |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8110484/ |

Publikationsstatus

Postprint Verlagsversion |

Begutachtungsstatus

begutachtet (Peer-reviewed) |

Sprache der Publikation

Englisch |

Abstract/Summary

Despite improved survival, surgical treatment of atrioventricular septal defect (AVSD) remains challenging. The optimal technique for primary left atrioventricular valve (LAVV) repair and prediction of suitability for biventricular approach in unbalanced AVSD are still controversial. We evaluated the ability of our recently developed echocardiographic left atrioventricular valve reduction index (LAVRI) in predicting LAVV reoperation rate and surgical strategy for unbalanced AVSD. Retrospective echocardiographic analysis was available in 352 of 790 patients with AVSD treated in our institution and included modified atrioventricular valve index (mAVVI), ventricular cavity ratio (VCR), and right ventricle/left ventricle (RV/LV) inflow angle. LAVRI estimates LAVV area after complete cleft closure and was analyzed with regard to surgical strategy in primary LAVV repair and unbalanced AVSD. Of the entire cohort, 284/352 (80.68%) patients underwent biventricular repair and 68/352 (19.31%) patients underwent univentricular palliation. LAVV reoperation was performed in 25/284 (8.80%) patients after surgical correction of AVSD. LAVRI was significantly lower in patients requiring LAVV reoperation (1.92 cm

Sacherschließung

lokal	Heart Ventricles/diagnostic imaging [MeSH]
lokal	Female [MeSH]
lokal	Mitral Valve/diagnostic imaging [MeSH]
lokal	Heart Septal Defects/diagnostic imaging [MeSH]
lokal	Heart Ventricles/physiopathology [MeSH]
lokal	Humans [MeSH]
lokal	Treatment Outcome [MeSH]
lokal	Retrospective Studies [MeSH]
lokal	Echocardiographic analysis
lokal	Cardiovascular Surgical Procedures/methods [MeSH]
lokal	Heart Septal Defects/surgery [MeSH]
lokal	Cohort Studies [MeSH]
lokal	Original Article
lokal	Infant [MeSH]
lokal	Left atrioventricular valve repair
lokal	Male [MeSH]
lokal	Preoperative decision-making
lokal	Unbalanced atrioventricular septal defect
lokal	Echocardiography/methods [MeSH]
lokal	Atrioventricular septal defect
lokal	Mitral Valve/surgery [MeSH]
lokal	Child, Preschool [MeSH]
lokal	Reoperation/statistics

Liste der Beteiligten

https://orcid.org/0000-0002-2008-2483|https://frl.publisso.de/adhoc/uri/S3JhbWVyLCBQZXRlcg==|https://frl.publisso.de/adhoc/uri/U2NoYWZzdGVkZGUsIE1hcmll|https://frl.publisso.de/adhoc/uri/WWlnaXRiYXNpLCBNdXN0YWZh|https://frl.publisso.de/adhoc/uri/RGFubmUsIEZyaWVkZXJpa2U=|https://frl.publisso.de/adhoc/uri/TXVyaW4sIFBldGVy|https://frl.publisso.de/adhoc/uri/Q2hvLCBNaS1Zb3VuZw==|https://frl.publisso.de/adhoc/uri/UGhvdGlhZGlzLCBKb2FjaGlt|https://frl.publisso.de/adhoc/uri/QmVyZ2VyLCBGZWxpeA==|https://frl.publisso.de/adhoc/uri/T3Zyb3V0c2tpLCBTdGFuaXNsYXY=

Hinweis

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