Surgical treatment of partial atrioventricular septal defect: functional analysis of the mitral valve in the postoperative period
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos Brasileiros de Cardiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001400002 |
Resumo: | OBJECTIVE: To study mitral valve function in the postoperative period after correction of the partial form of atrioventricular septal defect. METHODS: Fifty patients underwent surgical correction of the partial form of atrioventricular septal defect. Their mean age was 11.8 years and 62% of the patients were males. Preoperative echocardiography showed moderate and severe mitral insufficiency in 44% of the patients. The mitral valve cleft was sutured in 45 (90%) patients (group II - GII). Echocardiographies were performed in the early postoperative period, and 6 and 12 months after hospital discharge. RESULTS: The patients who had some type of arrhythmia in the postoperative period had ostium primum atrial septal defect of a larger size (2.74 x 2.08 cm). All 5 patients in group I (GI), who did not undergo closure of the cleft, had a competent mitral valve or mild mitral insufficiency in the preoperative period. One of these patients began to have moderate mitral insufficiency in the postoperative period. On the other hand, in GII, 88.8% and 82.2% of the patients had competent mitral valve or mild mitral insufficiency in the early and late postoperative periods, respectively. CONCLUSION: The mitral valve cleft was repaired in 90% of cases. Echocardiography revealed competent mitral valve or mild mitral insufficiency in 88.8% and 82.2% of GII patients in the early and late postoperative periods, respectively. |
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Surgical treatment of partial atrioventricular septal defect: functional analysis of the mitral valve in the postoperative periodpartial atrioventricular septal defectsurgerymitral valvecongenital heart diseasescardiovascular surgical proceduresOBJECTIVE: To study mitral valve function in the postoperative period after correction of the partial form of atrioventricular septal defect. METHODS: Fifty patients underwent surgical correction of the partial form of atrioventricular septal defect. Their mean age was 11.8 years and 62% of the patients were males. Preoperative echocardiography showed moderate and severe mitral insufficiency in 44% of the patients. The mitral valve cleft was sutured in 45 (90%) patients (group II - GII). Echocardiographies were performed in the early postoperative period, and 6 and 12 months after hospital discharge. RESULTS: The patients who had some type of arrhythmia in the postoperative period had ostium primum atrial septal defect of a larger size (2.74 x 2.08 cm). All 5 patients in group I (GI), who did not undergo closure of the cleft, had a competent mitral valve or mild mitral insufficiency in the preoperative period. One of these patients began to have moderate mitral insufficiency in the postoperative period. On the other hand, in GII, 88.8% and 82.2% of the patients had competent mitral valve or mild mitral insufficiency in the early and late postoperative periods, respectively. CONCLUSION: The mitral valve cleft was repaired in 90% of cases. Echocardiography revealed competent mitral valve or mild mitral insufficiency in 88.8% and 82.2% of GII patients in the early and late postoperative periods, respectively.Sociedade Brasileira de Cardiologia - SBC2002-11-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001400002Arquivos Brasileiros de Cardiologia v.79 n.5 2002reponame:Arquivos Brasileiros de Cardiologia (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.1590/S0066-782X2002001400002info:eu-repo/semantics/openAccessCastro Neto,Josué VianaChaccur,PauloGelape,Cláudio LeoSantos,Eliseu de SousaFalcão,Hélio CarlosIssa,MárioArnoni,Antoninho SanfinsAlmeida,Flávio SanchesAbdulmassih Neto,CamiloDinkhuysen,Jarbas JacksonSouza,Luís Carlos BentoPaulista,Paulo Paredeseng2002-12-17T00:00:00Zoai:scielo:S0066-782X2002001400002Revistahttp://www.arquivosonline.com.br/https://old.scielo.br/oai/scielo-oai.php||arquivos@cardiol.br1678-41700066-782Xopendoar:2002-12-17T00:00Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)false |
dc.title.none.fl_str_mv |
Surgical treatment of partial atrioventricular septal defect: functional analysis of the mitral valve in the postoperative period |
title |
Surgical treatment of partial atrioventricular septal defect: functional analysis of the mitral valve in the postoperative period |
spellingShingle |
Surgical treatment of partial atrioventricular septal defect: functional analysis of the mitral valve in the postoperative period Castro Neto,Josué Viana partial atrioventricular septal defect surgery mitral valve congenital heart diseases cardiovascular surgical procedures |
title_short |
Surgical treatment of partial atrioventricular septal defect: functional analysis of the mitral valve in the postoperative period |
title_full |
Surgical treatment of partial atrioventricular septal defect: functional analysis of the mitral valve in the postoperative period |
title_fullStr |
Surgical treatment of partial atrioventricular septal defect: functional analysis of the mitral valve in the postoperative period |
title_full_unstemmed |
Surgical treatment of partial atrioventricular septal defect: functional analysis of the mitral valve in the postoperative period |
title_sort |
Surgical treatment of partial atrioventricular septal defect: functional analysis of the mitral valve in the postoperative period |
author |
Castro Neto,Josué Viana |
author_facet |
Castro Neto,Josué Viana Chaccur,Paulo Gelape,Cláudio Leo Santos,Eliseu de Sousa Falcão,Hélio Carlos Issa,Mário Arnoni,Antoninho Sanfins Almeida,Flávio Sanches Abdulmassih Neto,Camilo Dinkhuysen,Jarbas Jackson Souza,Luís Carlos Bento Paulista,Paulo Paredes |
author_role |
author |
author2 |
Chaccur,Paulo Gelape,Cláudio Leo Santos,Eliseu de Sousa Falcão,Hélio Carlos Issa,Mário Arnoni,Antoninho Sanfins Almeida,Flávio Sanches Abdulmassih Neto,Camilo Dinkhuysen,Jarbas Jackson Souza,Luís Carlos Bento Paulista,Paulo Paredes |
author2_role |
author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Castro Neto,Josué Viana Chaccur,Paulo Gelape,Cláudio Leo Santos,Eliseu de Sousa Falcão,Hélio Carlos Issa,Mário Arnoni,Antoninho Sanfins Almeida,Flávio Sanches Abdulmassih Neto,Camilo Dinkhuysen,Jarbas Jackson Souza,Luís Carlos Bento Paulista,Paulo Paredes |
dc.subject.por.fl_str_mv |
partial atrioventricular septal defect surgery mitral valve congenital heart diseases cardiovascular surgical procedures |
topic |
partial atrioventricular septal defect surgery mitral valve congenital heart diseases cardiovascular surgical procedures |
description |
OBJECTIVE: To study mitral valve function in the postoperative period after correction of the partial form of atrioventricular septal defect. METHODS: Fifty patients underwent surgical correction of the partial form of atrioventricular septal defect. Their mean age was 11.8 years and 62% of the patients were males. Preoperative echocardiography showed moderate and severe mitral insufficiency in 44% of the patients. The mitral valve cleft was sutured in 45 (90%) patients (group II - GII). Echocardiographies were performed in the early postoperative period, and 6 and 12 months after hospital discharge. RESULTS: The patients who had some type of arrhythmia in the postoperative period had ostium primum atrial septal defect of a larger size (2.74 x 2.08 cm). All 5 patients in group I (GI), who did not undergo closure of the cleft, had a competent mitral valve or mild mitral insufficiency in the preoperative period. One of these patients began to have moderate mitral insufficiency in the postoperative period. On the other hand, in GII, 88.8% and 82.2% of the patients had competent mitral valve or mild mitral insufficiency in the early and late postoperative periods, respectively. CONCLUSION: The mitral valve cleft was repaired in 90% of cases. Echocardiography revealed competent mitral valve or mild mitral insufficiency in 88.8% and 82.2% of GII patients in the early and late postoperative periods, respectively. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-11-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001400002 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001400002 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0066-782X2002001400002 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia - SBC |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia - SBC |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Cardiologia v.79 n.5 2002 reponame:Arquivos Brasileiros de Cardiologia (Online) instname:Sociedade Brasileira de Cardiologia (SBC) instacron:SBC |
instname_str |
Sociedade Brasileira de Cardiologia (SBC) |
instacron_str |
SBC |
institution |
SBC |
reponame_str |
Arquivos Brasileiros de Cardiologia (Online) |
collection |
Arquivos Brasileiros de Cardiologia (Online) |
repository.name.fl_str_mv |
Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC) |
repository.mail.fl_str_mv |
||arquivos@cardiol.br |
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1752126552439521280 |