Endocardial cushion defect surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

The management of endocardial cushion defect depends upon the type of defect, underlying etiology and associated cardiac conditions. Surgical correction of defective valve holds the the mainstay of treatment for endocardial cushion. Medical management provides supportive care in preparing the patient for surgery.

Surgery

  • The management of endocardial cushion defect depends upon the type of defect, underlying etiology and associated cardiac conditions. Surgical correction of defective valve holds the the mainstay of treatment for endocardial cushion. Medical management provides supportive care in preparing the patient for surgery.
  • The intra-operative mortality rate is 3%, and the 10-year survival rate is more than 90%.[1][2]
Type of Defect Recommened Surgical Procedure
Complete AV canal defect (CAVC) Surgical intervention for most patients with CAVC by six months of age
  • Single-patch repair
  • Two-patch repair.
  • Modified (simplified) single-patch repair
Partial and transitional AV canal defect Surgical repair is recommended in childhood as these patients are at risk for atrial fibrillation and heart failure later in life.
  • Patch closure of the ostium primum defect
  • Mitral valvuloplasty
Unbalanced lesion
  • Single ventricle palliation


References

  1. Crawford FA, Stroud MR (November 2001). "Surgical repair of complete atrioventricular septal defect". Ann. Thorac. Surg. 72 (5): 1621–8, discussion 1628–9. doi:10.1016/s0003-4975(01)03170-8. PMID 11722055.
  2. Cui HJ, Zhuang J, Chen JM, Cen JZ, Xu G, Wen SS (December 2017). "[Surgical treatment and early-mid follow-up results of complete atrioventricular septal]". Zhonghua Wai Ke Za Zhi (in Chinese). 55 (12): 933–937. doi:10.3760/cma.j.issn.0529-5815.2017.12.011. PMID 29224269.

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