This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Chang-Ha Lee Cheul Lee In Sub Kim Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Jeong, I. S. Articles by Seo, H.-J. Search for Related Content PubMed PubMed Citation Articles by Jeong, I. S. Articles by Seo, H.-J.

Surgical outcomes of the modified single-patch technique in complete atrioventricular septal defect

^a Department of Thoracic and Cardiovascular Surgery, Chonnam University, College of Medicine, Kwangju, South Korea
^b Department of Thoracic and Cardiovascular Surgery, Sejong Heart Institute, Sejong General Hospital, 91-121 Sosa Bon 2-dong, Sosa-gu, Bucheon-si, Gyeonggi-do 422-711, South Korea
^c Department of Thoracic and Cardiovascular Surgery, Chung-Ang Universitiy, College of Medicine, Seoul, South Korea
^d Department of Thoracic and Cardiovascular Surgery, Chosun Universitiy, College of Medicine, Kwangju, South Korea

*Corresponding author. Tel.: +82-32-340-1151; fax: +82-32-349-1236.

E-mail address: leechha{at}sejongh.co.kr (C.-H. Lee).

We examined the usefulness of the modified single-patch technique for the surgical management of complete atrioventricular septal defect (AVSD). Sixty-one patients undergoing total correction for complete AVSD from January 1997 to December 2006 were classified to the modified single-patch technique group (18 patients) and the classical one-/two-patch technique group (43 patients). The surgical outcomes of the modified single-patch technique were compared with those of the classical-patch technique. Aortic cross-clamp time was shorter in the modified single-patch technique group (110.8±27.5 min vs. 134.4±42.5 min, P=0.03). During the follow-up period, two patients required reoperation for atrioventricular valve dysfunction in the modified single-patch technique group vs. three patients in the classical-patch technique group (P=0.63). One late death occurred in the modified single-patch technique and two late deaths in the classical-patch technique group (P=0.90). There was no significant difference in surgical outcomes between the two groups. And the modified single-patch technique has the advantage of relative simplicity and shorter ischemic time, and thus it is thought to be a feasible surgical option for the repair of complete AVSD.

Key Words: Congenital heart disease; Complete atrioventricular septal defect; Surgical technique