Late reoperation for systemic atrioventricular valve regurgitation after repair of congenital heart defects

John J. Lamberti, Thomas S. Jensen, Todd M. Grehl, James H. Oury, J. Deane Waldman, Stanley E. Kirkpatrick, Lily George, James W. Mathewson, Robert L. Spicer

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Since 1979, 17 infants and children have undergone reoperation for systemic atrioventricular (AV) valve regurgitation 6 weeks to 7 years after repair of congenital heart defects. Prior operations were repair of incomplete or complete AV canal (14 patients). Mustard repair of complex transposition of the great arteries including ventricular septal defect closure (2 patients), or first-stage operation for hypoplastic left heart (1 patient). Age ranged from 6 months to 11 years. In 12 of the 17 patients (10, AV canal; 1, transposition; 1, hypoplastic left heart), valve reconstruction was possible. Operative techniques included a combination of septal cleft approximation, leaflet resection, commissural annuloplasty, or ring annuloplasly. There were no operative deaths, and there were no reopsrations in the repair group. The condition of these patients has improved. Follow-up ranges from 1 month to 9 years (mean follow-up, 4.1 years). Five of the 17 patients (4, AV canal; 1, transposition) underwent valve replacement. There were no operative deaths. Follow-up ranges from 3 to 8 years. Three patients later underwent re-replacement of the prosthetic valve; there was 1 late death. The condition of all 4 survivors is improved. Substantial AV valve regurgitation can occur months or years after repair of congenital heart defects. A combination of reconstructive techniques may be useful in preserving native valve function and avoiding systemic AV valve replacement.

Original languageEnglish (US)
Pages (from-to)517-523
Number of pages7
JournalThe Annals of Thoracic Surgery
Volume47
Issue number4
DOIs
StatePublished - Apr 1989

Fingerprint

Congenital Heart Defects
Reoperation
Transposition of Great Vessels
Ventricular Heart Septal Defects
Heart Valves
Survivors

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Late reoperation for systemic atrioventricular valve regurgitation after repair of congenital heart defects. / Lamberti, John J.; Jensen, Thomas S.; Grehl, Todd M.; Oury, James H.; Waldman, J. Deane; Kirkpatrick, Stanley E.; George, Lily; Mathewson, James W.; Spicer, Robert L.

In: The Annals of Thoracic Surgery, Vol. 47, No. 4, 04.1989, p. 517-523.

Research output: Contribution to journalArticle

Lamberti, JJ, Jensen, TS, Grehl, TM, Oury, JH, Waldman, JD, Kirkpatrick, SE, George, L, Mathewson, JW & Spicer, RL 1989, 'Late reoperation for systemic atrioventricular valve regurgitation after repair of congenital heart defects', The Annals of Thoracic Surgery, vol. 47, no. 4, pp. 517-523. https://doi.org/10.1016/0003-4975(89)90425-6
Lamberti, John J. ; Jensen, Thomas S. ; Grehl, Todd M. ; Oury, James H. ; Waldman, J. Deane ; Kirkpatrick, Stanley E. ; George, Lily ; Mathewson, James W. ; Spicer, Robert L. / Late reoperation for systemic atrioventricular valve regurgitation after repair of congenital heart defects. In: The Annals of Thoracic Surgery. 1989 ; Vol. 47, No. 4. pp. 517-523.
@article{0e99b9c929d84484a1e89bf288a9e01f,
title = "Late reoperation for systemic atrioventricular valve regurgitation after repair of congenital heart defects",
abstract = "Since 1979, 17 infants and children have undergone reoperation for systemic atrioventricular (AV) valve regurgitation 6 weeks to 7 years after repair of congenital heart defects. Prior operations were repair of incomplete or complete AV canal (14 patients). Mustard repair of complex transposition of the great arteries including ventricular septal defect closure (2 patients), or first-stage operation for hypoplastic left heart (1 patient). Age ranged from 6 months to 11 years. In 12 of the 17 patients (10, AV canal; 1, transposition; 1, hypoplastic left heart), valve reconstruction was possible. Operative techniques included a combination of septal cleft approximation, leaflet resection, commissural annuloplasty, or ring annuloplasly. There were no operative deaths, and there were no reopsrations in the repair group. The condition of these patients has improved. Follow-up ranges from 1 month to 9 years (mean follow-up, 4.1 years). Five of the 17 patients (4, AV canal; 1, transposition) underwent valve replacement. There were no operative deaths. Follow-up ranges from 3 to 8 years. Three patients later underwent re-replacement of the prosthetic valve; there was 1 late death. The condition of all 4 survivors is improved. Substantial AV valve regurgitation can occur months or years after repair of congenital heart defects. A combination of reconstructive techniques may be useful in preserving native valve function and avoiding systemic AV valve replacement.",
author = "Lamberti, {John J.} and Jensen, {Thomas S.} and Grehl, {Todd M.} and Oury, {James H.} and Waldman, {J. Deane} and Kirkpatrick, {Stanley E.} and Lily George and Mathewson, {James W.} and Spicer, {Robert L.}",
year = "1989",
month = "4",
doi = "10.1016/0003-4975(89)90425-6",
language = "English (US)",
volume = "47",
pages = "517--523",
journal = "Annals of Thoracic Surgery",
issn = "0003-4975",
publisher = "Elsevier USA",
number = "4",

}

TY - JOUR

T1 - Late reoperation for systemic atrioventricular valve regurgitation after repair of congenital heart defects

AU - Lamberti, John J.

AU - Jensen, Thomas S.

AU - Grehl, Todd M.

AU - Oury, James H.

AU - Waldman, J. Deane

AU - Kirkpatrick, Stanley E.

AU - George, Lily

AU - Mathewson, James W.

AU - Spicer, Robert L.

PY - 1989/4

Y1 - 1989/4

N2 - Since 1979, 17 infants and children have undergone reoperation for systemic atrioventricular (AV) valve regurgitation 6 weeks to 7 years after repair of congenital heart defects. Prior operations were repair of incomplete or complete AV canal (14 patients). Mustard repair of complex transposition of the great arteries including ventricular septal defect closure (2 patients), or first-stage operation for hypoplastic left heart (1 patient). Age ranged from 6 months to 11 years. In 12 of the 17 patients (10, AV canal; 1, transposition; 1, hypoplastic left heart), valve reconstruction was possible. Operative techniques included a combination of septal cleft approximation, leaflet resection, commissural annuloplasty, or ring annuloplasly. There were no operative deaths, and there were no reopsrations in the repair group. The condition of these patients has improved. Follow-up ranges from 1 month to 9 years (mean follow-up, 4.1 years). Five of the 17 patients (4, AV canal; 1, transposition) underwent valve replacement. There were no operative deaths. Follow-up ranges from 3 to 8 years. Three patients later underwent re-replacement of the prosthetic valve; there was 1 late death. The condition of all 4 survivors is improved. Substantial AV valve regurgitation can occur months or years after repair of congenital heart defects. A combination of reconstructive techniques may be useful in preserving native valve function and avoiding systemic AV valve replacement.

AB - Since 1979, 17 infants and children have undergone reoperation for systemic atrioventricular (AV) valve regurgitation 6 weeks to 7 years after repair of congenital heart defects. Prior operations were repair of incomplete or complete AV canal (14 patients). Mustard repair of complex transposition of the great arteries including ventricular septal defect closure (2 patients), or first-stage operation for hypoplastic left heart (1 patient). Age ranged from 6 months to 11 years. In 12 of the 17 patients (10, AV canal; 1, transposition; 1, hypoplastic left heart), valve reconstruction was possible. Operative techniques included a combination of septal cleft approximation, leaflet resection, commissural annuloplasty, or ring annuloplasly. There were no operative deaths, and there were no reopsrations in the repair group. The condition of these patients has improved. Follow-up ranges from 1 month to 9 years (mean follow-up, 4.1 years). Five of the 17 patients (4, AV canal; 1, transposition) underwent valve replacement. There were no operative deaths. Follow-up ranges from 3 to 8 years. Three patients later underwent re-replacement of the prosthetic valve; there was 1 late death. The condition of all 4 survivors is improved. Substantial AV valve regurgitation can occur months or years after repair of congenital heart defects. A combination of reconstructive techniques may be useful in preserving native valve function and avoiding systemic AV valve replacement.

UR - http://www.scopus.com/inward/record.url?scp=0024509901&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024509901&partnerID=8YFLogxK

U2 - 10.1016/0003-4975(89)90425-6

DO - 10.1016/0003-4975(89)90425-6

M3 - Article

C2 - 2712624

AN - SCOPUS:0024509901

VL - 47

SP - 517

EP - 523

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

SN - 0003-4975

IS - 4

ER -