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Modified Single Versus Double‐Patch Technique for the Repair of Complete Atrioventricular Septal Defect
Author(s) -
Yildirim Ozgur,
Avsar Mustafa,
Ozyuksel Arda,
Akdemir Mehmet,
Zeybek Cenap,
Demiroluk Sener,
Bilal Mehmet Salih
Publication year - 2015
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12557
Subject(s) - medicine , single center , atrioventricular valve , atrioventricular septal defect , surgery , cardiopulmonary bypass , cardiology , heart disease , ventricle
A bstract Objectives We present our single center results of two commonly used surgical techniques, the modified single‐patch and double‐patch technique for the repair of the complete atrioventricular septal defect. Methods We enrolled 49 patients with complete atrioventricular septal defect who were operated by a single surgeon between 2004 and 2014. The modified single‐patch technique was performed in 32 cases (group S), whereas the defect was repaired with the double‐patch technique in 17 patients (group D). Results The mean age at the time of operation was 7.7 ± 8.6 (range 1–48) months and 9.9 ± 12.5 (range 1.5–48) months, in groups S and D, respectively. Mean body weight was 6.7 ± 3 (range 3.5–15.5) kilograms and 7.2 ± 3.8 (range 4.3–14.5) kilograms in groups S and D, respectively. Cross‐clamp and cardiopulmonary bypass times were shorter in the modified single‐patch group (65.6 ± 16.3 vs. 98.7 ± 19.8 minutes, p = 0.0001; 88.9 ± 23.3 vs. 128.9 ± 28.0 minutes, p = 0.0001). Postoperative atrioventricular valve function was improved in both groups. Mean follow‐up period was 4.4 ± 3.2 (range 1.2–9.9) years. One patient in each group underwent reoperation for left atrioventricular valve insufficiency. We encountered two early and one late mortalities in modified single‐patch group. One early mortality was experienced in the unmodified group. Conclusions The modified single‐patch and two‐patch techniques have comparable results; however, the modified single‐patch technique is performed with significantly shorter cross‐clamp and cardiopulmonary bypass times, therefore we have adopted this technique on a routine basis for the treatment of the complete atrioventricular septal defect in our institute. doi: 10.1111/jocs.12557 (J Card Surg 2015;30:595–600)