Cardiovascular therapeutics · 2026
The Combined Double-Orifice and Single-Patch Technique for Partial Atrioventricular Septal Defect in Adults: A Novel Strategy.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Zheng Hua-Jie, Xiao Rui-Han, Ye Mao-Ting, Li Jun, Guo Mei, Yu San-Jiu, Cheng Yong-Bo, Cheng Wei
Аннотация
AIM: The aim of this study is to share our experience of the combined double-orifice and single-patch technique for the correction of partial atrioventricular septal defect (pAVSD) and its associated tricuspid valve dysplasia (TVD).
METHODS: Between January 2014 and May 2024, 99 patients (age ≥ 18 years) who underwent repair of pAVSD and its associated TVD using the aforementioned strategy were retrospectively analyzed.
RESULTS: The mean aortic cross-clamp time was 48.5 ± 12.6 min, and the mean cardiopulmonary bypass time was 75.8 ± 13.0 min. Follow-up was 100% at a mean of 5.2 years (3-8 years). No operative or late deaths occurred. No evidence of mitral stenosis was detected, and only one patient developed a severe MR 2 years after the surgery and underwent reoperation. There was no moderate or severe tricuspid regurgitation during follow-up. There was neither secondary tricuspid valve repair nor permanent pacemaker implantation among all patients.
CONCLUSIONS: The combined double-orifice and single-patch technique is a safe, effective, and durable strategy for repair of pAVSD and its associated TVD, demonstrating an excellent technical reproducibility.
METHODS: Between January 2014 and May 2024, 99 patients (age ≥ 18 years) who underwent repair of pAVSD and its associated TVD using the aforementioned strategy were retrospectively analyzed.
RESULTS: The mean aortic cross-clamp time was 48.5 ± 12.6 min, and the mean cardiopulmonary bypass time was 75.8 ± 13.0 min. Follow-up was 100% at a mean of 5.2 years (3-8 years). No operative or late deaths occurred. No evidence of mitral stenosis was detected, and only one patient developed a severe MR 2 years after the surgery and underwent reoperation. There was no moderate or severe tricuspid regurgitation during follow-up. There was neither secondary tricuspid valve repair nor permanent pacemaker implantation among all patients.
CONCLUSIONS: The combined double-orifice and single-patch technique is a safe, effective, and durable strategy for repair of pAVSD and its associated TVD, demonstrating an excellent technical reproducibility.