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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
07:41

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[Surgical correction of atrioventricular discordance--results and follow-up]

M Yamagishi1, Y Imai, S Hoshino

  • 1Department of Pediatric Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College.

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai
|August 1, 1992
PubMed

Insights

This study evaluated intracardiac repair for complex congenital heart defects, comparing conventional surgery using the right ventricle with anatomic correction (double switch operation) using the left ventricle.

Area of Science:

  • Congenital Heart Surgery
  • Pediatric Cardiology
  • Cardiac Anatomy

Context:

  • Intracardiac repair for complex congenital heart defects is challenging.
  • Atrioventricular and ventriculoarterial discordance require specialized surgical approaches.
  • Previous studies have focused on specific defect types, necessitating a broader analysis.

Purpose:

  • To compare the outcomes of conventional intracardiac repair versus anatomic correction (double switch operation) in patients with atrioventricular and ventriculoarterial discordance.
  • To analyze the effectiveness of using the anatomical right ventricle versus the anatomical left ventricle as the systemic ventricle.
  • To identify patient subgroups that may benefit from specific surgical strategies.

Summary:

  • A total of 47 patients with atrioventricular discordance, ventriculoarterial discordance, and two ventricles underwent intracardiac repair.
  • Thirty-five patients (RV group) had conventional repair using the right ventricle as the systemic ventricle.
  • Twelve patients (LV group) underwent anatomic correction (double switch operation) using the left ventricle as the systemic ventricle.

Impact:

  • This research provides valuable insights into surgical strategies for complex congenital heart disease.
  • The findings can help guide surgical decision-making for improved patient outcomes.
  • Understanding the long-term implications of each surgical approach is crucial for pediatric cardiac care.

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