Atrioventricular septal defect surgery
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Atrioventricular septal defect Microchapters |
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Differentiating Atrioventricular septal defect from other Diseases |
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Diagnosis |
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Treatment |
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Atrioventricular septal defect surgery On the Web |
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American Roentgen Ray Society Images of Atrioventricular septal defect surgery |
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Risk calculators and risk factors for Atrioventricular septal defect surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Surgery
2008 ACC/AHA Guidelines for the Management of Adults With Congenital Heart Disease (DO NOT EDIT)[1]
Recommendations for Surgical Therapy (DO NOT EDIT)[1]
| Class I |
| 1. Surgeons with training and expertise in CHD should perform operations for AVSD. (Level of Evidence: C) |
| 2. Surgical reoperation is recommended in adults with previously repaired AVSD with the following indications:
a. Left AV valve repair or replacement for regurgitation or stenosis that causes symptoms, atrial or ventricular arrhythmias, a progressive increase in LV dimensions, or deterioration of LV function. (Level of Evidence: B) b. LVOT obstruction with a mean gradient greater than 50 mm Hg or peak instantaneous gradient greater than 70 mm Hg, or a gradient less than 50 mm Hg in association with significant mitral regurgitation or AR. (Level of Evidence: B) c. Residual/recurrent ASD or VSD with significant left-to-right shunting (refer to Section 2.0, Atrial Septal Defect, and Section 3.0, Ventricular Septal Defect). (Level of Evidence: B) |
Picture below shows repair of atrioventricular cleft in Atrioventricular septal defect.
Picture below shows repair of mitral cleft in Atrioventricular septal defect.
References
- ↑ 1.0 1.1 Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA; et al. (2008). "ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". J Am Coll Cardiol. 52 (23): e1–121. doi:10.1016/j.jacc.2008.10.001. PMID 19038677.