Endocardial cushion defect natural history, complications and prognosis: Difference between revisions
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===Prognosis=== | ===Prognosis=== | ||
*Prognosis of endocardial cushion defect is generally good with treatment. However, some children might develop valvular and rhythm disorders after surgical correction. | *Prognosis of endocardial cushion defect is generally good with treatment. However, some children might develop valvular and rhythm disorders after surgical correction.<ref name="pmid17646766">{{cite journal |vauthors=Maltret A, Moura C, Le Bidois J, Fermont L, Bajolle F, Stos B, Azancot A, Bonnet D |title=[Prognosis of atrioventricular canal in euploid foetus without abnormality of atrial situs] |language=French |journal=Arch Mal Coeur Vaiss |volume=100 |issue=5 |pages=411–5 |date=May 2007 |pmid=17646766 |doi= |url=}}</ref> | ||
*Prognositic factors include: | *Prognositic factors include: | ||
**Degree of preoperative pulmonary vascular disease | **Degree of preoperative pulmonary vascular disease |
Revision as of 02:57, 27 April 2020
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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
If left untreated, majority of patients with endocardial cushion defect may progress to develop life threatening conditions. Common complications of endocardial cushion defect include dilatation of heart, pulmonary hypertension, respiratory tract infections , and heart failure. Surgical mortality rate of patients with partial endocardial cushion defect is approximately 0.6%. For complete cushion defect the surgical mortality rate is 2.5-9%. Prognosis of endocardial cushion defect is generally good with treatment. However, some children might develop valvular and rhythm disorders after surgical correction.
Natural History, Complications, and Prognosis
Natural History
- If left untreated, majority of patients with endocardial cushion defect may progress to develop life threatening heart failure and pulmonary hypertension.
Complications
- Common complications of endocardial cushion defect include:
Prognosis
- Prognosis of endocardial cushion defect is generally good with treatment. However, some children might develop valvular and rhythm disorders after surgical correction.[1]
- Prognositic factors include:
- Degree of preoperative pulmonary vascular disease
- Amount of residual AV valve regurgitation
- Protected pulmonary vascular bed with mild AV regurtiation is associated with good outcome, while the contrary holds the bad prognosis.
- Surgical mortality rate of patients with partial endocardial cushion defect is approximately 0.6%. For complete cushion defect the surgical mortality rate is 2.5-9%