[Valvulo-and annuloplasty in correction of complete atrioventricular septal defect]

The surgical and postoperative long-term results were assessed in 55 patients undergoing correction of complete atrioventricular septal defects. The patients was divided into two groups according to mode of plasty of the atrioventricular valve: 45 patients in whom the cleft was closed in the earlier series, and 10 with trifoliated mitral valve, leaving the cleft unclosed in the later series. The early death occurred in 13 of 45 patients in the earlier series and none in the later series. During 11 years follow up period, mitral valve regurgitation of grade 3 and 4 was observed in 20% of the patients, respectively, in the earlier series. In contrast, grade 3 mitral regurgitation was detected in only one and no grade 4 regurgitation was present in the later series. Tricuspid valve regurgitation was irrelevant. In the later series, the diameter of the mitral valve was greater than the average value of Rowlatt's standard by 3.4 mm after partisioning the common atrioventricular valve into mitral and tricuspid components, and smaller than the normal by 0.2 mm, though the diameter was within the normal range after valvulo-and annuloplasty. On the other hand, the diameter of the tricuspid valve was also greater than the normal value by 1.7 mm after partisioning, however, that was smaller than the normal by 1.7 mm after valvulo-and annuloplasty, on the average. The diameter was smaller than the normal lower limit by one standard deviation in two patients. There was present neither mitral nor tricuspid stenosis in all on the post-operative hemodynamic study.(ABSTRACT TRUNCATED AT 250 WORDS)